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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> ,s <br /> Date Received =eT ."c f-7 y- __r4 y, <br /> .Phone Contact for Permitting <br /> Owner's Name t� P�`S ��/� isrle 5 Owner Phone Number <br /> Owner's Address / 939 a04�A ` - r k-'(s Owner Phone Number °3'✓�g�'d/ ?�/ <br /> Owner Phone Number <br /> JOB ADDRESS 9 3!� j! Z ��;�� LOT# �- <br /> SUBDIVISIONOOr fio'd- PARCEL ID# t'f{- "r�l'17�IO-40i0p-�d�0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = = DEMOLISH <br /> F1, INSTALL e REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCKS/ Q/, FRAME = STEEL = <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE �d°'e�10 SQ FOOTAGE dBv HEIGHT 4) ;}' <br /> =BUILDING $ �p VALUATION OF TOTAL CONSTRUCTION <br /> 2 fJ�l C <br /> =ELECTRICAL $ AMP SERVICE = DUKE ENERGY 0VWR*Ei. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION /\� <br /> =GAS = ROOFING Q SPECIALTY = OTHER (� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER J COMPANY <br /> SIGNATURE 1 REGISTERED Y/ N FEE CURREN <br /> AddressC! ?0}` License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N_J FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y 1 N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <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. (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 Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if,on public roadways..needs ROW <br />