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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received. -7, L ] Phone Contact for Permitting - <br /> Owner's Name ��5�� �L� I Owner Phone Number ,�56-1z2 5 <br /> Owner's Address [ Owner Phone Number <br /> Owner Phone Number <br /> JOB ADDRESS CL u& DQ� CL �35193- LOT# <br /> SUBDIVISION S�� PARCEL ID# {'Z(p" 2 _U()00-W1 �zo <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R <br /> NEW CONSTR R ADD/ALT SIGN Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR 0 COMM 0 OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK Q FRAME 0 STEEL <br /> DESCRIPTION OF WORK ±eLh 4"'v S-wvu-e_ wr\4.-, S- ' <br /> BUILDING SIZE I 500--A) s. SQ FOOTAGE � HEIGHT <br /> BUILDING $ 35,5 VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE 0 DUKE ENERGY Q W.R.E.C. <br /> PaN c(r u'r nneut4vr�,.1 Cook W(r, b,11 <br /> LUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 2,16 <br /> GAS �-,I-ROOFING Q SPECIALTY Fu� OTHER -ref r <br /> FIN SHED FLOOR ELEVATIONS � �e FLOOD ZONE AREA =YES <br /> BUILDER COMPANY 1r�fa'S 4Yk Cr"F } Gca. ''1 G <br /> SIGNATURE REGISTERED Y/ N_J FEE CURREP Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREI` Y/N <br /> ,Liic�ense# <br /> .� COMPANY <br /> SIGNATURE ! ED Y/ N FEE CURREN <br /> Address 5I D,o 8/f/,5Teee 7� License# Ff9c 1 s 16 6� <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREI` <br /> Address L License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREt, <br /> Address License# <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 hew 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. (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(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />