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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date RR..... . Phone Contact for Permitting <br /> Owner's Name Owner Phone Number Z <br /> Owner's Address 76ci PlC Q bIl -? `c 2 Owner Phone Number <br /> 3 2 SY Z Owner Phone Number <br /> JOB ADDRESS 7.46`13 In L'Te RA LOT# <br /> SUBDIVISION /�S (e S PARCEL ID# Z�Z I-D 2 O-©c�G�—01�d <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR e ADD/ALT = SIGN = 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION Q/ BLOCK 0 FRAME = STEEL <br /> n = <br /> DESCRIPTION OF WORK ` 63 ' 6 Ale- /I va C/ <br /> BUILDING SIZE 47OOTAGE ( 3/ HEIGHT 1 6 <br /> =BUILDING $3S-76 <br /> VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ _7 AMP SERVICE = DUKE ENERGY 0 W.R.E.C. <br /> =PLUMBING $ 2 <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION U�3 <br /> =GAS = ROOFING = SPECIALTY = OTHER (/ <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY `fit Le <br /> SIGNATURE (' REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# / 79 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LILN <br /> Address I 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,Stormwater 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 /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (AIC 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 />