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\813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> 7 <br /> Fe /,)Received' i� � /1 f J Phone Contact for Permitting Y'13 ) 610 <br /> Owner's Name 6:�A 't f, Owner Phone Number JAI -73 <br /> -,,24g 9 Z <br /> l Owner Phone Number <br /> Owner's Address JA el F <br /> Owner Phone Number <br /> JOB ADDRESS s J Arc LOT# <br /> SUBDIVISION tf�7 P—A A 6,)6 6 <br /> PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR R ADD/ALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE SFR COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK 0 FRAME STEEL _J <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> =BUILDING r/_7 6:0 6 VALUATION OF TOTAL CONSTRUCTION <br /> _ � <br /> =ELECTRICAL [!77 1 AMP SERVICE DUKE ENERGY Q W.R.E.C. <br /> =PLUMBING $ 1 � St P (PV\.S <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER Q�7 C COMPANY f.44 1-t r__ <br /> SIGNATURE REGISTERED Y/ N FEE CURREI\ L11 N J <br /> ' I <br /> Address I/ �4_-, -A S'.—7—,4 ,1-? A1-76("t) License# C 3 /,9 5-3 1 ? <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE1% YIN <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREI\ L)2 N <br /> Address License# F <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREI, Llt N <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 /> -------------- 11--111-- <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—— <br /> Reroofs;if shingles l: Sew4s- —8ervi (Plot/Survey/Footage)Fences(Plot/Survey/Footage) <br /> Driveways4of over Cdunter'4' 6"ri publi"fqaqwgys,,.needs'ROW <br />