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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> ' Building Department <br /> Y' <br /> Date Received <br /> Phone Contact for Permitting. = <br /> Owner's Name 8tiGy�_j -Owner.Phone Number 30 � <br /> Owner's•Address �'W d �3 H42�L 15 Owner.Phone-Number- <br /> W l U F j ` J ry� I `� Owner Phone Number, <br /> JOB%ADDRESS 50"42 LOT# <br /> SUBDIVISION PARCEL ID#. <br /> (OSTAINED'FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW.CONSTR ADD/ALT• -SIGN = = DEMOLISH <br /> e INSTALL 8 REPAIR <br /> } PROPOSED USE 0 SFR = COMM OTHER77 <br /> TYPE OF CONSTRUCTION = BLOCK FRAME' STEEL <br /> DESCRIPTION OF WORK _S '�`rU eS' _QL <br /> BUILDING SIZE. 5� X,-'C SO FOOTAGE !� S t HEIGHT /-3 <br /> =6UILDiNG $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL ($ AMP SERVICE Q DUKE ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY OTHER- <br /> FINISHED FLOOR ELEVATIONS C FLOOD ZONE AREA =YES NO <br /> BUILDER J � 0C�MPANY <br /> SIGNATURE REGIST <br /> �J ERED' <br /> Y/ N FEE CURRSh Ly/.N <br /> Address 1 p8 _S". �� lr iQ �S License#° C�3 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# I <br /> PLUMBER COMPANY _= <br /> SIGNATURE REGISTERED Y/•N FEE CURREA <br /> Address License# F _. <br /> 4 <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N =FEE'C-URREh. <br /> Address License#• <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y 7'N. FEE CURREI, Y'/N <br /> Address License'# <br /> RESIDENTIAL Attach:{2),PtotPlans {2):sets.,of'Buiidirig Plans; 1.)",set-of.:Energy"Farms;R-O-W(imli`-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 LifaZafety Page;(1)set of Energy.Forms.R-O-W Permit for new construction. <br /> Minimum ten(16)Working days.after submittal date::Requl?ed•onsite,Construction Plans,StormWater Plans w/Silt Fence.installed, <br /> Sanitary Facilities&1 dumpster.Site Work-Permit'for all new projects.Ali commercial requirements must meet compliance <br /> SIGN PERMIT 1;' Attach(2)sets of Engineered Plans. <br /> """PROPERTY SURVEY required for all NEW construction, <br /> 131rectians: <br /> E Fill out application completely. <br /> l Owner&dontractor sign'back of application,notarized <br /> if over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> ! Agent(forthe contractor)or Power of Attorney(for the'owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE,CQUNTER PERMITTING (oopy afcontract required) - <br /> Reroofs,if shingles Sewers Seryige gradesA/C Fences(Plot/Survey/Footage) <br /> _. ! g <br /> Driveways-Not over Counter if.on public roadways..n6eds"ROW <br />