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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received 9 1,) Phone Contact for Permitting <br /> ............ T_ <br /> Owner's Name T'lorda V—ob Owner Phone Number <br /> Owner's Address 3_- VW8 Ffn\vve_ LoR-C i Owner Phone Number <br /> Owner Phone Number <br /> JOB ADDRESS LOT# C � <br /> SUBDIVISION PARCEL ID# �C)Lp-C4 k —09-1 D L) 0 L.03q, <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED a NEW CONSTRR ADD/ALT SIGN 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR O COMM OTHER f <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK tt� PL <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> EXBUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE DUKE ENERGY W.R.E.C. <br /> =PLUMBING 1$ <br /> =MECHANICAL V7 1 VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY i 7-/)�htd Rm nrA- <br /> SIGNATURE , V REGISTERED N FEE CURREN Y/N 17 <br /> Address P 46'x U `210,VN— License# V <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N_J FEE CURREN <br /> Address License# F_ <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN �N <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# F_ <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# F_ <br /> HHHHf H HHHHHHHHH HHHHHHHHH I!!!MHHH!I i Ili HHHH I HHHHHH! <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&I 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 /> 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 11 1 11 i 11!1 i 111111;1!1111111 i 1!1!1 1 11 i 111 i <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. (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 :Sewe I rs "'".Service Upgrad Upgrades A7C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if,on public rbadways I..n-eed sROW <br />