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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 Ct Qf'lC�C Owner Phone Number ! 7 <br /> Owner's Address fT Owner Phone Number <br /> f EL Owner Phone Number <br /> JOB ADDRESS / j C re f F L.- # <br /> SUBDIVISION I PARCEL ID# Z_.RI-101�0- 00000-1096 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R <br /> NEW CONSTR 5 ADD/ALT SIGN Q Q DEMOLISH <br /> INSTALL //'�-' REPAIR <br /> PROPOSED USE SFR = COMM = OTHER - <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME = STEEL = <br /> DESCRIPTION OF WORK /O ! -roo <br /> BUILDING SIZE / SQ FOOTAGE HEIGHT <br /> ------------------ <br /> BUILDING $ <br /> ® � VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = DUKE ENERGY = W.R.E.C. <br /> =PLUMBING $ V7(/ <br /> IT <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS D� / ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> 71-1 <br /> BUILDER COMPANY /LC- X0071 nGnStrVAI o <br /> SIGNATURE REGISTERED Y/ N CURREN YIN <br /> a Q�y <br /> Address fd �/ o Q ��3 License# e l�✓C)D 713 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address I 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. 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)'6omplete sets of Building Plaplus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minim umten(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 /> 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 requited); <br /> Reroofs if shingles Sewers Service'Upgrades A/C:' ,'„Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public.rbadways:.rieeds ROW <br />