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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> rrrrL,r .........Date Received PhoneContact for Permitting <br /> ............ .............................. ... ..... <br /> Owneme <br /> Owner Phone Number IVY! <br /> Owner!s!AddreS s Owner Phone Number <br /> & Owner Phone Number <br /> 9 <br /> JOB ADDRESS LOT# <br /> i. <br /> SUBDIVISION PARCEL,IDIJI al—OdIO —6 I M6 -&W <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRIO ADD/ALT SIGN DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER <br /> TYPE OFCONSTRUCTION Q BLOCK FRAME STEEL <br /> -DESCRIPTION OF WORK mr1j <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> 4444444444 <br /> =BUILDING <br /> VALUATION OF TOTAL CONSTRUCTION 0, 15 <br /> =ELECTRICAL 1$ AMP SERVICE Q DUKE ENERGY 0 W'.R-.,E.;C. <br /> =P.LUMBING <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING 0 SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES <br /> .......... H4q+ <br /> 7- <br /> BUILDER COMPANY O :`. 'Lee, I_W,e <br /> SIGNATURE REGISTERED P*:FEE*CURREN L�X!N <br /> Address License# Fo_15c 1�cl&7,_-�_, <br /> ELECTRICIAN COMPANY. Y/ N FEE CURREN <br /> SIGNATURE L-Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED YIN I -FEE CURREN LLXLN J <br /> Address License.# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED: Y/-N FEE CURREN, .,I Y/.N. <br /> Address License.# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 1. Y/ N FEE CURREN <br /> Address F License# F <br /> RESIDENTIAL AttaCK(2):Plot-Plans-f,(2)sets ofiEluilding:Plans';,(1)set of-Energy Form,�;.R-LO-W,Permit fornew construction,. <br /> Minimum ten(16)working days after;sbbmitt6l`date. Required onsit6.-C-onstruction_Plins,'Stbrmwater Plans-.w/.Silt Fence-installed, <br /> Sanitary Facilities&I 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'.--ReqUirid onsite,Construction'Plans,Stormwater Plans ,' <br /> i w/�Sllt Fence instdlled <br /> Sanitary Facilities&I dumpster.Site Work Permit for 611 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 /> 14"441 -- - ------- -- <br /> Dlreetl=� <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 /> 4 <br />