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813-,780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting (} 3 7 g� -- 7 777 <br /> Owner's Name 1 .(A/-1 c r4 E S Owner Phone Number !3.- t �' - 1 7 !. <br /> D. L Owner.Phone Number - 4 O/ ' Lt g .1 Owner's.Address /� 2 r� <br /> I �T t is' E L J3 S / U owner Phone Number, <br /> F. f�LP I I L <br /> JOB ADDRESS ` Q D C'i c b vn O n-T AVE LOT#' <br /> SUBDIVISION F/—\ P A 4111 PARCEL ID# <br /> (OSTAINED'FROM PROPERTY TAKNOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN.. [�, [� DEMOLISH <br /> R INSTALL R REPAIR <br /> PROPOSED USE Q $FR Q -COMM. OTHER EH&Q A 0 D <br /> TYPE OF CONSTRUCTION 0 BLOCK 0 `FRAME ! I STEEL .� <br /> DESCRIPTION'OF WORK //ac f b CO /c) 6@0 GX/ >J <br /> BUILDING SIZE o SO FOOTAGE HEIGHT- I <br /> BUILDING $ <br /> O O C� C�c✓ � VALUATION OF TOTAL'CONSTRUCTION <br /> =ELECTRICAL $ d AMP.SERVICE(40/J DUKE ENERGY W.R.E.C. <br /> =PLUMBING T <br /> =MECHANICAL $ Q 1 G VALUATION OF MECHANICAL INSTALLATION t4 Q pi 15 j l <br /> 44 <br /> =GAS FNTV� ROOFING Q., SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE-AREA =YES NO <br /> R_. <br /> BUILDER _• ( VOMPANY = _ _ : - = sm:3 <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/.N <br /> Address License# �! <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N_J FEE CURREN <br /> Address. License# <br /> PLUMBER COMPANY <br /> SIGNATURE, REGISTERED Y/ N FEE CURR6 Y/N <br /> Address License# �! <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED ` Y/ N' •FEE CURREN' Y'/N <br /> Address License# <br /> I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED. Y/ N._J FEE CURREN <br /> Address- License# <br /> RESIDENTIAL Attach.(2)Plot-Plans;,(2)sets of Building Plans;(1)set of.Energy Forms;R-O-W Permit for-new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans;-Stormwater Plans w/Silt Fence:installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdMsions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working,days after submittal date.-Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.-Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of,Engineered Plans. <br /> ""PROPERTY'SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized' <br /> If over$2500,a Notice of Commencement is required.;(A/C upgrades over$7500) <br /> " Agent(for the contractor)or Power of Attorney(fortlie,awnar)would be someone with notarized letter from owner authorizing same <br /> ,I.. <br /> OVER THE COUNTER PERMI.TTIPCG' s YY,i.(ccpy tlf'contract•ra4uired) <br /> Reroofs if shingles Sewers `�;`Seniee Upgl 'de? .A1C y `Fences(PiotiSurveylFootage) <br /> Driveways-Not over Counter if dn`oUblic;Toadweys..needs'ROIN <br />