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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> 'Building Department <br /> Date Received <br /> n_ C Wr\ Phone Contact for Permitting <br /> LL&J.LALJ4JJA ............ <br /> Owner"'sName Owner Phone Number' <br /> Owner's Address I 1k7 3,1 L4,-�k z-,6P�y,4L.0 Owner Phone Number <br /> F3 L(—L F( Owner Phone Number <br /> JOB ADDRESS JL( F( LOT# <br /> 5� <br /> SUBDIVISION PARCEL ID#F_ <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRe <br /> ADD/ALT SIGN DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 0 SFR Q COMM OTHER I k/ 1 (V4 AC_C_ <br /> TYPE OF CONSTRUCTION Q BLOCK 0 FRAME 0 STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE I � ?:2(0 SQ FOOTAGE HEIGHT <br /> [2aBUILDING MowQ VALUATION OF TOTAL CONSTRUCTION <br /> C �z <br /> =ELECTRICAL 1$ AMP SERVICE = DUKE ENERGY 0 W.R.E.C. <br /> =PLUMBING 1$ Lt&u, L Lt ei_ <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION �f <br /> k ^ 1) <br /> =GAS ROOFING SPECIALTY OTHER P-V_ c�� L) <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY DT— (I's�LA-�C-f <br /> SIGNATURE REGISTPED Y/_N FEE CURREN L_XLN J <br /> Address "11&qw(s License# F_ <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY LL� <br /> SIGNATURE I REGISTERED Y/ N FEE CURREN <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L_YIN_j <br /> Address _7 License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> I I I I I I I I I,,I I I I I 1 2 111111 M I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I i I I I I I I I I I I I I I I I I I I I I I I I I I i 1 2 1 i I I I I I I I I I I f f I <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/Slit 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 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 /> Fr t :� <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 Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-No,t over Counter'i-f'6n public roadways-..needs ROW <br />