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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> e- I Building Department <br /> Date Received 1 .Phone Contact for Permitting V <br /> TTTTT= ....... ..... ...... ....... <br /> r Phone Number <br /> Owner's Name 9� � iflioU wne <br /> Owner's Address <br /> Owner Phone Number <br /> 1 aN,�,t i <br /> 1-7 fAA1U_Y k I'l IS Owner Phone Number <br /> JOB ADDRESS F 75'R 3 f I 0,V-e -Z_ uchillS ,EL 33512- 1 LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED n NEW CONSTR 8 ADD/ALT SIGN DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 0 SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME 0 STEEL <br /> DESCRIPTION OF WORK [(2-) U, C C/V)CA,rta CA-k+ I4un <br /> 'J BUILDING SIZE SO FOOTAGE HEIGHT <br /> Hiiiilliip '4 1,14 1 1 <br /> =BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE DUKE ENERGY Q W.R.E.C. <br /> =PLUMBING 1$ <br /> W MECHANICAL 1$ 5 <br /> 0 a VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N_J FEE CURREh L_YLN J <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address r License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREt, L_X <br /> _L N_j <br /> Address License# I I <br /> MECHANICAL COMPANY wl ryxan AU- )--?,y V f6 <br /> SIGNATURE REGISTERED (Y) N FEE CURREN Y/N <br /> Address License# 1(zty1/ <br /> y�OFJ <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# F— <br /> HHHH! !HHHHHHHH <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&I 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 /> '44 �11 I w w 111waff 111 1;t 1 1 1;1 1;1 i 1;1 1 1;1;i i <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 SeWets­­ '-'Service Upgrades- Fences(Plot/Survey/Footage) <br /> Driveways-Not over.Counter if'Oripu0l6 <br />