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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 Ztl"7 <br /> 17177-17M,I......... 11 1 1,I....... ................ ......... <br /> Owner's Name -7 - ail E-1i Owner Phone Number <br /> Owner's Addressl3>400 14vitAe:, <br /> Owner Phone Number <br /> P,\4-k __I K r?-5_6 4 Owner Phone Number 5_.Z5_7-- 267 <br /> F <br /> JOB ADDRESS 13 LOT# <br /> SUBDIVISION PARCEL ID# 0.3 2-t -06 t 0 - 1 Z-ZLiQ'- 60ZO <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR 8ADD/ALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK 0 FRAME STEEL <br /> DESCRIPTION OF WORK OV17 A4 Si C`Sf- 6 ` 4��\1 Z5�4� !��- V Li`(&—c,-QLL0d _61VI`K's aij <br /> 1 1 "7 BUILDING SIZE SQ FOOTAGE HEIGHT <br /> .....I I <br /> 71= <br /> 1*�EBUILDING 1$ 1 VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE 0 DUKE ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> =GAS 0 ROOFING F__1 SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> REGISTERED Y/ N FEE CUNREN Ly <br /> BUILDER COMPANY &LUMXCA VEIE�V%(\C, ,�AA <br /> SIGNATURE _LNvj <br /> Address License# FACao5Z -7 3,�, <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L11N J <br /> Address License# <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#OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License J7 <br /> HHHH <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 wl 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 wl Silt Fence installed, <br /> Sanitary Facilities&I 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(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING: (copy,of contract required) <br /> Reroofs if shingles Sewers S e I rvica_Uoj�ades.A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counf6r if'6n'b6k&foadwdys'..heeds Row <br />