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813-780-0020 City of Zephyrhills Permit Applicaff�rl Fax-813-780-0021 <br /> Building Department <br /> -7 <br /> Date Received' i Z— Phone Contact for Permitting <br /> Owner's Name N,)K/-k D L-SC C>7—E A J 't'%I MOTW 130 Owner Phone Number ,3 a- y a y <br /> Owner's Address So�/o0 L/4 GpOG1f CLA`/ Nl< Owner Phone Number <br /> Ezi'E65%e V:1 335- Owner Phone Number <br /> JOB ADDRESS �31 S +� S i2 eTt4 YtZHI w5 Yc, 3 35q02 LOT# <br /> SUBDIVISION PARCEL ID# —a G -a/-o O/1 - a YOO-0 0 70 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK.PROPOSED NEW CONSTR ADD/ALT = SIGN. _ = DEMOLISH <br /> R INSTALL, REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK 0 FRAME = STEEL <br /> DESCRIPTION'OF-WORK <br /> BUILDING SIZE SO FOOTAGE= HEIGHT <br /> P_eJBUILDING $ S O O O VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE = DUKE ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS 15;a ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD'ZONE.AREA =YES NO <br /> 14 BUILDER `�l COMPANY- �I/IS n�/P/FF7 CANS UC�O�I1f v/E}9d1�/ G <br /> SIGNATURE � :. REGISTERED Y/ N FEE CURREN Y/N <br /> Address' s3�(3 (o ' ST _7fftf` f-t4-S L_ License# GRC / 3 3 R 3 a <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED LKL NF FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <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 <br /> Address License# <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:1,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 P..lans.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 /> ,\- 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 /> VER THE COUNTER PERMITTING (copy of-contract required) <br /> 7oofs if shingles Sewers Service Upgrade§ A7C Fences(Plot/Survey/Footage) <br /> riveways-Not over Counter if on public roadways..needs ROW <br />