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City of Zephyrhills Permit Application FaX a13 7eaoozl <br /> h Building Department <br /> Data Received !!��V ff, Phone Contact for PennitUng <br /> Owner's Name t V b�/ ��P Zf v^.r 14'l S i w G Owner Phone Number 8 6 88• lt�S <br /> Owner's Address 330o v 6Iry a r r rrr&4'L po,c(G.r a Owner Phone Number <br /> F I Owner Phone Number <br /> \ 336(l <br /> JOB ADDRESS -1 B 3 a I (v . Z O T( !(I6 F.( 3 3 5 q LOT a <br /> SUBDIVISION F PARCEL ID# <br /> ��� (OBTAINED FROM PROPERTY TAIL NOTICE) <br /> WORK PROPOSED e NEW CONSTA B = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q CO = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME/ Q STEEL = <br /> DESCRIPTION OF WORK r^+�rref �e^r✓a�rpn Ot CyLdS�iN rpttr s}care. <br /> BUILDING SIZE F SQ FOOTAGE HEIGHT <br /> BUILDING . 116570, Z U U VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = DUKE ENERGY 0 W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL is VALUATION OF MECHANICAL INSTALLATIO <br /> =GAS = ROOFING Q SPECIALTY = OTHER �/a�p I <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES Nod St(�� <br /> BUILDER (�—r 'Q llv <br /> ( COMPANY <br /> SIGNATURE r✓r^^r"J --""^^••w✓✓•""`wLL REGISTERED Y/N FEE CURREI, I Y/N <br /> Address o,o LY R �^ ✓S�r�0.( Qi✓d. S tee^ <br /> p yst F l License# I C(rC 0 6 l l u <br /> ELECTRICIAN COMPANY <br /> SIGNATURE F REGISTERED I Y/N FEE CURR9, I Y/N <br /> Address License# <br /> PLUMBER <P <br /> COMPANY +iS Prof-es5rotutI Nain /n <br /> SIGNATUREA71r <br /> REGISTERED Y/N FEE CVRRE.N Y/N <br /> Address I (lam : �f'QY�{)({ I�L License# e Fd o 15j75 Z 3 <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREA Y/N <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 subdivisionsllarge 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,Stornwater Plans w/Silt Fence Installed, <br /> Sanitary Facilities&1 dumpsler.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)seta 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 some <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 />