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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> v C/ <br /> Date Received Phone Contact for Permitting P Y <br /> Owner's Name SG ae Q1 Q!✓ /'lo Q S Owner Phone Number I�� �0 G2 " ✓.�� <br /> Owner's Address 3��15 L Q/w*h �(/�Q�r%Qi Owner Phone Number <br /> 2epl�y4/Is, /� I Owner Phone Number �! <br /> JOB ADDRESS fQ(A! W/ri V Ze rk ' ir-i Y-Ir / LOT# (� I <br /> SUBDIVISION PARCEL ID#I 06Z "'oC 6^ 00 j — — 00 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR R ADD/ALT SIGN DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION QfJ BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK �Q /AG0 doS-T11 WI fiell CO/)C17C S'P/Y/'/`CC vw, l � <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> BUILDING ($ VALUATION OF TOTAL CONSTRUCTION <br /> EZI'ELECTRICAL $ AMP SERVICE DUKE ENERGY W.R.E.C. <br /> =PLUMBING 1$ r <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY Pci:2 bledrf'c &C4A J I &NA <br /> SIGNATURE / j/, REGISTERED / N FEE CURREN /N <br /> Address 01, 19G II/!! //q- J�lr License# 1 EC o00!a b <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# F_ <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 />