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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 /> ............ <br /> Owner I Phone Number WY3 -_77? 12,�_;? <br /> Owner's Name f(64( <br /> Owner's Address Li 5' PC,,. Owner Phone Number F <br /> Owner Phone Number <br /> JOB ADDRESS -LOT# C�� <br /> SUBDIVISION 7- yl i'C19 4 PARCELID#1 03-26-21-0136-0015a-0-0676 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADD/ALT SIGN DEMOLISH <br /> R. INSTALL REPAIR <br /> PROPOSED USE Q SFR Q Comm OTHER <br /> -TYPE OF,CONSTRUCTION Q BLOCK FRAME STEEL <br /> -DESCRIPTION OF WORK 41 j' &,4 i7e PI/e 09eGxeL <br /> BUILDING SIZE �OFOOTAGE HEIGHT <br /> 1 i i 8 1 2 i i V L4 I I I <br /> BUILDING "r&_ VALUATION OF TOTAL CONSTRUCTION <br /> 1 30Q 0 � �� <br /> =ELECTRICAL 1$ AMP SERVICE DUKE ENERGY 0 W.R.E.0 <br /> =PLUMBING 1$ <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO. <br /> ................. <br /> .......... <br /> BUILDER COMPANY <br /> SIGNATURE . REGISTERED Y/-N`,' FEE CURREN LKLN <br /> Address L _j <br /> F��=7e—q ' S - _/"I & <br /> License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Ly_/N_j <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# F_ <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/:N FEE CURREN <br /> Address License# <br /> OTHER. COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> HiHHH HH HI HHHH 1,HHHHHHH HHIH 111 H!fill 1 1 Hit 1 H!l H 11 1-H 111 H 11 l 11 HH 1 14F <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.subm ittal date. Required onsite,Construction Plans,-Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facilities&I 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&I 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:'4 <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 /> " : <br /> Reroofs if shingles 'Sew&i ge&f6e Fences(Plot/Survey/Footage) <br /> Driveways-Notover Counter if on'pu:'blib rd'adwa s..n I eeds ROW <br />