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813-780-0020 City of Zephyrhills Permit Application Fax-813-7bu-uuz, <br /> Building Department <br /> Date Received Phone Contact for Permitting F(a )7-73 150 <br /> 0: <br /> Owner's Name &-mrWield Owner Phone Number <br /> Owner's Address 3132-5 /4,r Loe_-lea /Z Owner Phone Number F_ 2_4115 41 q G <br /> Ond e 35,2..3 Owner Phone Number F <br /> JOB ADDRESS Ave 35L/ Z,- LOT# <br /> SUBDIVISION JWw" of 2e_1?k17—h;-115 PARCELID# 00 10 -0(o2 e-)0 -06 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> NEW WORK PROPOSED W CONSTRR ADD/ALT REPAIR SIGN DEMOLISH <br /> Pq INSTALL <br /> PROPOSED USE SFR Q Gomm OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK M <br /> I <br /> BUILDING SIZEXoS/yrl <br /> SO FOOTAGEF/S/ 17A HEIGHT <br /> =BUILDING <br /> VALUATION IOIsN OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ >MP SERVICE D UKEENERGY W.R.E.C. <br /> o ��=PLUMBING -7-150 d <br /> =MECHANICAL ALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING F__] SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES <br /> !HHHHHHHHHHH <br /> BUILDER COMPANY <br /> &xil-te,:�ld ,,AweiL�!e,4/J 44, <br /> SIGNATURE REGISTERED I QV N FEE CURREN Lyj N <br /> Address An b-,, /Qq( Qc,,(cCn,/71. 3 z3 License# I C/0'r 1-?32#LI5 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address <br /> License# _r_J7—'Z_ <br /> MECHANICAL COMPANY W4 <br /> SIGNATURE REGISTERED FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y] N_J FEE CURREN Lyj 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 wl 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: 14444' <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 SeWdrs- __Sbr-v'i­e'U ' radee'AIC- -Fences(Plot/Survey/Footage) <br /> 1?7 <br /> Driveways-Not over Counter if oh":p6 61-i'c"r'�oiidwayt..ne.eds.ROW. <br />