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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 f k� (0 <br /> AJ-LL-L ...... - 7 <br /> Owner's Name Owner Phone Number <br /> Owner's Addressl 37 09 Owner Phone Number <br /> Owner Phone Number <br /> JOB ADDRESS J-7 L 0 t_a� re— <br /> I LOT 9 <br /> SUBDIVISION PARCEL ID# (011)—0 0 0,c>0 —0 2_3-0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADD/ALT SIGN DEMOLISH <br /> a INSTALL REPAIR <br /> PROPOSED USE SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL <br /> DESCRIPTION OF WORK =A� 5 <br /> BUILDING SIZE SO FOOTAGE 2 HEIGHT <br /> =BUILDING -7 35- OC VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE 0 DUKE ENERGY Q W.R.E.C. <br /> =PLUMBING bb <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS _EK ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> ELECTRICIAN COMPANY L_ <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LnN J <br /> Address —1 License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# F7 - 1 <br /> T <br /> OTHER COMPANY rlq:�7p ( �� �7 <br /> SIGNATURE REGISTERED _Y_/_N FEE CURREN Y/N <br /> Address &L, (U License# <br /> I I I i a I I I a I 11111 m 1 a a a N*1 111 ++ <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 wl Silt Fence installed, <br /> Sanitary Facilities&.1 dumpster;Site Work Permit for subdivisionsAarge 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 /> 44P4444444:144_ <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Noticevf Commencement is required. (AIC upgrades over$7500) <br /> Agent(for the contractor)or Power,6t"Attorney(for the owner)would be someone with 'authorizing same <br /> Iv h notarized letter from owner <br /> OVER THE COUNTER of contract require.d) <br /> Reroofs if shingles Sewqrs._ Sqyicq. 0grad es,:N(,, -Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counteir if on-pub ic*r`da­d1ways..nee qsyROW <br />