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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 Rq --n q gg� <br /> Owner's Name JC_� 1;9- t)C`k ' C—InEYk Owner Phone Number <br /> �P_ I <br /> Owner's Address Owner Phone Number <br /> FL_ 326+-L- Owner Phone Number <br /> JOB ADDRESS ?_Jq zelp})4(6d,6 R '6' 2)Sq L LOT# <br /> SUBDIVISION PARCEL ID# "D — 0010 —lb(oCO 0 1120 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADD/ALT F/5�_] SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL <br /> DESCRIPTION OF WORK Igo 2h�C_d <br /> BUILDING SIZE SCI FOOTAGE= HEIGHT C <br /> oiiioisisw <br /> =BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> []ELECTRICAL AMP SERVICE rV'l DUKE ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L11 N J <br /> Address License# I <br /> ELECTRICIAN COMPANY R ",I:Ll <br /> SIGNATURE REGISTERED IMN FEE CURREN N <br /> Address PL License#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 I License# F <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L.X/N <br /> Address —1 License# I <br /> HHHH! 111 11 HHHH HH if it Ht <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 duMpsteri Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets 6f Building Plans plus alife 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 /> HWHigiiiiiiiiii ....... ..... ............ 44:pm� <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 (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PlottSurvey/Foo'tage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />