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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Ve a L m <br /> Date Received -74 -_ -T-ezi I Phone Contact for Permitting <br /> ................... <br /> Owner's Name Lle.OV Allow Adt'leg-1071-Of Owner Phone Number <br /> Owner's Addressl 991t X zlw;(�19 Ave Owner Phone Number F_ <br /> Owner Phone Number <br /> JOB ADDRESS et LOT# <br /> SUBDIVISION *�wills- (010n, PARCEL ID# c2 21- 0o lio-q(Xrool - 6600 <br /> (OBTAINED FROM PROPERTY TAX NOTICEi, <br /> WORK PROPOSED NEW CONSTR R ADD/ALT SIGN DEMOLISHR INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q,y <br /> FRAME STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE S r 0 FOOTAGE HEIGHT <br /> .......... <br /> BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION <br /> E_7 rELECTRICAL 1$ EZ1' <br /> AMP SERVICE/00 DUKE ENERGY Q W.R.E.C. <br /> =PLUMBING 1$ <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRET <br /> Address License# <br /> ELECTRICIAN COMPANY Cl&kC Z <br /> SIGNATURE REGISTERED 1(y/ N I FEECURREN ' le"VIN <br /> - ZAddress I License# <br /> 71 <br /> tI <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREI, <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LILN J <br /> Address License# F_ <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED YIN FEE CURREI, <br /> e Address License F <br /> I I R t I I*i a t 9 .11"'1111+11 0 111 1 <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,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. (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 />