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813-780-0020 City of Zephyrhills PerMit Application Fax s1a-7aa0o21 <br /> Building Depa erir --. <br /> Date Received --� Phone Contact for Permi ng• f . <br /> Owner's•Name nt b �.i._ b Owner- <br /> Owner's Address 3 0 m o /5-tL' AN.-.- Owner Phone•Number <br /> i `—"T' "�7 ��T �- I. Owner PhoneNumtier-.. <br /> JOW DRESS p®I ` r/-/ eo" ve LOT# �� <br /> _. I,� may` <br /> SUBDIVISION PARCEL ID#. 11-oC I""oL! - 0 D f 0— O Ili <br /> (OaTA1NED'FROM PROPERTY TAX NOTICE) <br /> WORKPROPOSED NEW.CONSTR ADD/ALT .SIGN [� = DEMOLISH <br /> e INSTALL 8 REPAIR <br /> PROPOSED USE = SFR = COMM -OTHER <br /> TYPE OF CONSTRUCTION BLOCK =" FRAME' C] STEEL .Q <br /> DESCRIPTION OF WORK U!✓/ t v,6 AG' e/ crew Agg A 1.0 ;o. / vi/ A_y <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT: �r� J <br /> UILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> (l0 <br /> b` =ELECTRICAL $ AMP SERVICE Q DUKE ENERGY 0. W.R.E.C. <br /> =PLUMBING $ IV V <br /> mbi <br /> =MECHANICAL 1$ VALUATION OF:MECHANICAL INSTALLATION <br /> =GAS 0 ROOFING SPECIALTY OTHER Cyr " I <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA YES NO ��� j <br /> 0 <br /> ((( <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y:/' N FEE CURREN <br /> Address" 'License# <br /> ELECTRICIAN COMPANY I " <br /> SIGNATURE REGISTERED Y/ N FEE CU(RREM`' <br /> Address License# I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED. Y/,A FEE CURRE6 .•"Y N <br /> Address License# L <br /> MECHANICAL y COMPANY �. <br /> SIGNATURE REGISTERED I Y/ N FEE CUR�RED`.'' , Y/N<•; <br /> Address I License#;I. <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I I Y/'N FEE CURREn Y/N <br /> Address" License# F <br /> RESIDENTIAL Attach. Plot Plans;(g)isets,,of,Building•PlanS;;(1:},se#af..Energy Forms;R=O-W Pefthit`for-'rtew=consfruction; <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 subdivisionsAarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a LifwSafety Page;(1)set of Energy.Forms.-R-O-W Permit-for new construction. <br /> Minimum ten(10):work1hg•days,after submittal date: Required onsite,Construction Plans,Stonnwater Plans w/SiltFenceanstalled, <br /> Sanitary Facilities&1 dumpster.Site Work"Permitfor:all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets,ol"Eiigineered 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. (AIC 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,ofcontract 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 />