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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 - <br /> Owner's Name LA -i i(u Je,(o C2 C-bir Owner Phone Number sS j - 25 <br /> Owner's Address (� gl`�1� Q Owner Phone Number <br /> J3Sg-I Owner Phone Number <br /> JOB ADDRESS ML a� LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT © SIGN = = DEMOLISH <br /> R <br /> . INSTALL 8 REPAIR <br /> PROPOSED USE ED SFR 0 COMM = OTHER <br /> TYPE OF'CONSTRUCTION Q/, BLOCK Q FRAME 0 STEEL 0 <br /> DESCRIPTION OF WORK. f2e-6co4 e a L L g�oAe- 106-A - 0 o A <br /> BUILDING SIZE r 3�1 SO FOOTAGE 3�{ HEIGHT, <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE aoO DUKE ENERGY = W.R.-E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING_ 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE , REGISTERED Y/ N' FEE CURREN Y./N <br /> Address License# <br /> ELECTRICIAN f� r � COMPANY p 0_I'_n Ce- E I-e-C,4 C i <br /> � S nG <br /> SIGNATURE / / /, REGISTERED' Y/ N FEE CURREN. <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address 7 License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/-N FEE CURREN <br /> Address License# <br /> OTHER. COMPANY <br /> SIGNATURE REGISTERED Y/'N FEE CURREN Y/N <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. Required onsite;Construction Plans;Stormwaten 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 /> 14 <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 Sewers Service Upgrades-A/C° Fences(Plot/Survey/Footage) <br /> 9 <br /> Driveways-Not over Counter if on'public roadways..needs ROW <br />