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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department / <br /> Date Received <br /> H Phone Contact for Permitting <br /> Owner's Name V C` G t0, ��X!Z F P Owner Phone Number <br /> Owner's Address ,3 M& ac N / ✓�%� Owner Phone Numbe 777"v3 '/-6 9 1 6 <br /> �x if Owner Phone Number <br /> JOB ADDRESS 3$Jr �� 6? A v r Ze >', r h I s - 1 LOT# <br /> SUBDIVISION PARCEL ID# 135D©-0 100 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R <br /> NEW CONSTR B ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME © STEEL Q ) <br /> DESCRIPTION OF WORK fJ V �G� lu J11V /I L rGt¢� <br /> BUILDING SIZE 123 X(5 .30-3 3 SQ FOOTAGE / HEIGHT <br /> inviiiiivii <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ 70 711 AMP SERVICE ® DUKE ENERGY W.R.E.C. <br /> =PLUMBING $ - �' ✓� <br /> 0 VALUATION OF MECHANICAL INSTALLATI t r` I <br /> Q MECHANICAL $ Q� � 41� l <br /> ��, j� d=GAS = ROOFING 0 SPECIALTY = OTHER � j � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO) <br /> ....... ........A............... ...... .........(. ........ 2 v <br /> BUILDER uOc OMPANY <br /> SIGNATURE V REGISTERED 1 4y N FEE CURREnI, /I�Y/N <br /> Address rl License# V�>W <br /> ELECTRICIAN OMPANY U �4� v A P- <br /> SIGNATURE GISTERED Y/ N FEE CURREN Y/N <br /> Address / License# (J ` <br /> PLUMBER i' OMPANY <br /> SIGNATURE a J �u-" "' REGISTERED N FEE CURREN YIN b� <br /> Address ! �s5. /L(v�/j✓i nJ 6 S�Q l�vl ( �- C License# I e Fe - <br /> MECHANICAL /� / G �` COMPANY Mk /06 ", <br /> SIGNATURE REGISTERED N FEE CURREN Y/N It <br /> Address T ��,`. License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address L 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 subdivisionstlarge 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 /> 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 /> Driveways-Not over Counter if on public roadways..needs ROW <br />