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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received --I� Phone Contact for Permitting <br /> Owner's Name L- p q gollow 14fff I Owner Phone Number <br /> 2 <br /> Owner's Address c7$00q W1AdAovj4,r 4ve-,• Owner Phone Number 2 " 33Iq <br /> �tfwyzy/LLr '.• .33Z Owner Phone Number F <br /> JOB ADDRESS r LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR 8 ADD/ALT SIGN 0 [� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK a r'vt w o�/it.a.la" cru-f <br /> BUILDING SIZE SO FOOTAGE= HEIGHT <br /> =BUILD€NG 1___ 1 VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ 1,600 1 AMP SERVICE DUKE ENERGY Q W.R.E.C. <br /> PLUMBING <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION L✓' <br /> =GAS ROOFING SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> ELECTRICIAN r COMPANY 6zc"c "r'n'L <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L11 N <br /> Address I License# F <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# �- <br /> MECHANICAL COMPANY <br /> SIGNATURE _ REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> I <br /> OTHER COMPANY <br /> I SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# F _ <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 subdivisions/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.S€te 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 siign'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 Aftcimey�(for the•ownec).iuould,be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy'of,contract;iequired). .?' <br /> Reroofs if shingles Sewers "'Service Upg7ades''A/C �'-;Fenees(PIot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />