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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received r Permitting Phone Contact fo <br /> ............. <br /> Owner's Name WrWce_ (A>6 Owner Phone Number <br /> Owner's Address 13-7 3,9-) Ali 5 3a 'b f- Owner Phone Number <br /> Owner Phone Number <br /> L <br /> JOB ADDRESS 17 ksi:-a be LOT# C� <br /> SUBDIVISION —00e_0 I <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK 0 FRAME STEEL <br /> DESCRIPTION OF WORK FTeCr_ c>q- ni_ 0� 5��Mb Coup <br /> BUILDING SIZE SO FOOTAGE HEIGHT Is <br /> =BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> B LRO /� I Da <br /> =ELECTRICAL 1$ AMP SERVICE DUKE ENERGY = W.R.E.C. <br /> =PLUMBING $ 4��It �1(eq <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS [2T ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> Vn k f'16 10(— <br /> BUILDER COMPANY c 0 o _TI <br /> SIGNATURE REGISTERED Y/ N 1�0�FERURREII <br /> Address License# CC 13313 R0 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LLLN J <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED FEE CURREN L_Y_LN J <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# 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/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 /> Directions: <br /> IgCtions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement Is recItAred. (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 , 8ery:lce Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public r6adways..needs ROW <br />