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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> 1� Building Department <br /> - <br /> Date Received 9 Phone Contact for Permitting F 77C, 4 <br /> -. ............ 1.1..... <br /> Owner's Name Donn Deit,,^j-0 Owner Phone Number <br /> Owner's Address l MaAP0t,.;0400 Owner Phone Number <br /> Owner Phone Number <br /> JOB ADDRESS LOT# <br /> SUBDIVISION PARCELID#1 13-26-21 J LJO 6 Oe-'0 0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK E::] FRAME STEEL <br /> DESCRIPTION OF WORK Fr�ep I A c4e- e 4-1 -te <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> II I 11114 <br /> =BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE 0 DUKE ENERGY Q W.R.E.C. <br /> =PLUMBING 1$ <br /> EVIMECHANICAL 1$ 5�o(3. oe) VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER _-� COMPANY 6 rb fl i y- I Plea-4- -5- V,.:r <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# C Ac t <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> PLUMBER COMPANY [�— <br /> SIGNATURE REGISTERED Y/ N_J FEE CURREN L_y N <br /> Address License# _L_j <br /> P qir ots <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE 7U-RRE11 Y/N <br /> Address 13r-a P Inv, F4 335 I License# I CA G 114 9 13 -7 6 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <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.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 /> ................ <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. (AIC 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 (60'py of contract c't' 'required) <br /> Reroofs if shingles Sewers Service Upgrades NC Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if ori_j5 6bli c roadways..needs ROW <br />