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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date�`R 6t® ed .Phone Contact for Permitting F. - f - 9 <br /> Owner's Name (7 0 /r',0 ! e s� Owner Phone Number 70 a I <br /> Owne.r's.Address 3g! I s Sl Ave4(/e Owner.Phone Number <br /> Owner Phone Number <br /> JOB ADDRESS �(D �f0 r�� Ke LOT# <br /> SUBDIVISION F PARCEL,ID# 09 — ` —a!— �O —Q r O Co0e.) <br /> (OBTAINED FROM.PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = = DEMOLISH <br /> R INSTALL 8. REPAIR <br /> PROPOSED USE Q SFR Q COMM = OTHER <br /> TYPE OPCONSTRUCTION = BLOCK 0 FRAME = STEEL <br /> DESCRIPTION OF WORK �e IGc�n 0S A AeW. &At1 �C . f U/i;$ d S✓ <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> [ELECTRICAL. $ AMP SERVICE ' [(� DUKE ENERGY 0 W:R:EC. <br /> Sys 7c <br /> =PL•UMBING $ f rtE' fir 3q / 66 1� <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> v�6 <br /> =GAS = ROOFING 0 SPECIALTY.= OTHER l'r <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO... <br /> . <br /> BUILDER COMPANY <br /> SIGNATURE . REGISTERED L Y/`N'.- FEE'CURREN Y,/N <br /> Address License# <br /> ELECTRICIAN C�/�N _COMPANY 4e Medric a <br /> SIGNATURE7/�LC <br /> n REGISTERED N FEE CURREN /N <br /> Address .3 >r e.' (w I?+�`� �3Sy� License# CC-00 0 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE6 <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/!N FEE CURRER Y,/,N <br /> Address License.#. <br /> , <br /> OTHER COMPANY. <br /> 8 SIGNATURE REGISTERED Y/,-N FEE CURREN <br /> Address License# <br /> RESIDENTIAL Attach:(2).RIot-Plans';.(2)sets•ofBuilding'Plans;(1)set of Energy Forms;:R=O-W Pemiit for new construction„ <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,:Stormwater Plans w/Silt.-Fence•instal(ed, <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,=S.tormwater 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 />