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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Receivc2 <br /> TT71_rrT317rrrT7'r= Phone Contact for Permitting ......... <br /> Owner's Name e— f'(-b Tles Owner Phone Number <br /> Owner's Address F_5(,14-2, Oakw, i!,,118 Owner Phone Number <br /> W +L 2)j,544-1 Owner Phone Number <br /> JOB ADDRESS 1 IAve^u,,e_ FL, LOT# <br /> SUBDIVISION PARCEL ID#F11 0-C)3500 — 001S 0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADD/ALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK 0 FRAME STEEL <br /> DESCRIPTION OF WORK IYIS 2 p (;r17-CJ[ py-okc_L_V1,;n <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION <br /> EAELECTRICAL AMP SERVICE F—Y-1 DUKE ENERGY Q W.R.E.C. <br /> =PLUMBING 1$ <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS 0 ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N_J FEE CURREN L_y LN_J <br /> Address • License# <br /> Pf� <br /> ELECTRICIAN COMPANY 2D e-CJ --In C_ <br /> SIGNATURE -<\�A REGISTERED Y N FEE CURREN L�,�N <br /> r <br /> Address toy-Dal_zp�)4(�Ilk2 License# FEE-i <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L_y LN_j <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L)2 N <br /> Address I License# <br /> HHHH! I I I I I I I I I I I 1 1 111 1111111111 HH 1 111 H H 1!!!1111111 H Hit H j!111114 <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 subdivisions/large projects <br /> COMMERCIAL Attach(2)complete-sets of"B6 Qdin,g.Plans plus alife Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after subftiftlal 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 /> 4 I I i I s I W44;i I i I I i i i 14444 ................11111111 1,111 111 111111 11111 1;;;; 11;;1;1 111;111 p4xw <br /> D CtIT 0 : <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 PERM ITTI NG,,..,. (qqpy.of: <br /> contract.requited) <br /> Reroofs if shingles Sewers .'.�,.-,Servi g <br /> Up rades,A/C.-, Fences(PlottSurveylFoo'tage) <br /> i "Driveways-Not over dounter'ifi,on•publlcroadways;'.needs'ROW <br />