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813480-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Dote Received ..Phone Contact for Permitting l✓ ��J — Y <br /> ......... ......... <br /> ...... <br /> '2 <br /> Owner's Name t)/e Q Dli/ /�!D e l S �� Owner Phone Number !3 <br /> Owner's Address e Ale-19ve, Owner Phone Number <br /> 2 // J s- XY_5 02- Owner Phone Number <br /> JOB ADDRESS t /I,Q Xfs7 2 LOT# <br /> SUBDIVISION 6(oA Co PARCEL'ID# O IPI-96-9/ - 0010— 0ys O- 0000 <br /> (08TAINED FROM PROPERTY TAX-NOTICE) <br /> WORK PROPOSED R NEW CONSTR e ADD/ALT = SIGN = - = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL <br /> DESCRIPTION OF WORKJ e,(• <br /> BUILDING SIZE SO FOOTAGE HEIGHT, <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> EEfELECTRICAL, $ .' /�Q "O 0 AMP SERVICE 100 EEI DUKE ENERGY Q W.R.-E.-C.W.R.-E.-C.-( l <br /> =PLUMBING <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION T <br /> =GAS = ROOFING_ Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address ff��,, Licensse# <br /> ELECTRICIAN COMPANY Cf 7j t'_ 4!�ZeGk/C e T' Pam'► �4/I <br /> 'SIGNATURE /,� REGISTERED / N FEE CURREN N <br /> Address J 4111 AA a&fLg4t fnQ License# r �C mo Ion 4 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/' N FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY " <br /> SIGNATURE REGISTERED Y/ "N FEE CURREN Ly <br /> /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$250%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,00ntMgt.required) <br /> Reroofs if shingles Sewers.,., Service;Upgrades-A1C Fences(PlottSurvey/Footage) <br /> Driveways-Not over Counf& f'on.`public roadways..needs ROW <br />