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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-OUZ1 <br /> Building Department <br /> Date t reived O " <br /> Phone Contact for Permitting o{ <br /> Owner's:Name ffiea±j one Number <br /> Owner's:Address BPS 3 SP-Lee Owner Phone Number F/3 <br /> -qC /0Y-lcl,-� Owner Phone Number <br /> oeskl, MctAe L El 3-26 <br /> JOB ADDRESS _3 3a <- 14Ut- 2e h ! ►'I I-S -LOT# <br /> SUBDIVISION t�� h ,I� PARCEL ID# - J Q)'t�6�a-�(� CL3' C�2S <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN [� = DEMOLISH <br /> R INSTALL e REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER <br /> TYPE OF,CONSTRUCTION Q BLOCK 0 n�FRAMEJ STEEL Q L. <br /> DESCRIPTION OF WORK el"Si n kr7t? - 0 / 7 <br /> BUILDING SIZE SO FOOTAGE HEIGHT IF <br /> EiPP1LDING $ C" VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $$ AMP SERVICE DUKE ENERGY Q W.-R.E.-C. <br /> �r f `tom <br /> =PLUMBING Xtes <br /> $ a! Jy `�' w ChN'J�7 � <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> OTHER GAS ROOFING SPECIALTY <br /> 0 0 0 0 <br /> FINISHED FLOOR ELEVATIONS L r-� FLOOD ZONE AREA =YES IVO <br /> BUIt.@ER - - COMPANY <br /> �SIGNATURE� REGISTERED /"N' -'FEE`CURRED Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGSTERED` Y/ N FEE CURREh L11N <br /> Address License# F <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREIN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREh <br /> Address License# <br /> OTHER. COMPANY- <br /> SIGNATURE' REGISTERED Y/ N FEE CURREh Y/N" <br /> Address License# 1 <br /> RESIDENTIAL Attach(2)Plot Pians;.(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,'Stonnwater-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. (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•-r- (copy of:aontract.reguired) <br /> Reroofs if shingles "Sewers 'Set Vice Upgrades;AIC',.'=:''Fences(Plot/Survey/Footage) <br /> Driveways-Not aver Counter if gn,p"ublictrioadways.needs:ROW . <br />