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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received. 1 .Phone Contact for Permitting l3 2 nol — <br /> r'- 2 n (� <br /> Owner's Name C Owner Phone"NIJI 3 't 0 l 9 <br /> Owner's Address ( Zq j j a Owner Phone..Number <br /> Owner Phone Number <br /> JOB ADDRESS lyA 29 Vl Gh eat,) ' LOT# <br /> SUBDIVISION PARCEL ID# D 2� — 0220 C3U800 -OI <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT 0 SIGN = = DEMOLISH <br /> R <br /> . INSTALL B REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER" <br /> TYPE OF'CONSTRUCTION = BLOCK = FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK 970 LA&I Cho eOv C 2-5-Tom SCe46,a4 11 <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE 0 DUKE ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ Gp 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,CURREK <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> 'SIGNATURE REGISTERED I Y/ N FEE CURREN <br /> Address License# . <br /> PLUMBER COMPANY' <br /> SIGNATURE REGISTERED Y/' N FEE CURREN <br /> Address License#MECHANICAL OMPANY - kue. W' 150t, <br /> SIGNATURE EGISTERED Y/:N FEE CURREN Y/N <br /> Address SS q License# AC181 (Q <br /> OTHER. COMPANY <br /> 1 SIGNATURE REGISTERED Y/ N FEE CURREt. 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(1'0)working days after submittal date. Required onsit6,Construction Plans,StormwaterPlans 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(16)working days.after submittal date. 'Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed. <br /> Sanitary Facilities&11-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 /> ..,. <br /> OVER THE COUNTER PERMITTING . .,;.(copy of,contract required) <br /> Reroofs if shingles Sewers. Se'rvice'Upgiades:A/C ' Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public`ro'dways..needs ROW <br />