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813-780-0020 City of Zephyrhills Perm t Application Fax-813-780-0021 <br /> Building Departm nt <br /> Date Received e(3 ; 22,E 090 <br /> :] .Phone Contact for Permitti g <br /> Owner's Name `6 1pkor Owner Phone Number ^' eqg <br /> Owner's Address /tJ. �CU1�CAl Owner Phone Number <br /> JT� 3d C3 Owner Phone Number <br /> ,�Q <br /> JOB ADDRESS �Zs 1 S' S ! L �J S 2 LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION = BLOCK/ 0 FRAME STEEL = <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> BUILDINGT $ / 2©Q VALUATION OF TOTAL ONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE = DUKE ENERGY Q W.R.E.C. <br /> =PLUMBING $ �n <br /> =MECHANICAL $ VALUATION OF MECH NICAL INSTALLATION <br /> =GAS ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE ARE =YES NO <br /> BUILDER COMPANY �}>') ��O( <br /> SIGNATURE /' [ , 1 REGISTERED I Y/ N FEE CURREhT/NJI <br /> Address lot c5umnar1 O (L1 r(_/Q t 56 48 License# FCC C ( _g 2--,2- t q 9 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREh Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREh <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREh Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LY/N <br /> Address F7 License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy F rms;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 onsi e,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projei Is.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$2500,a Nutice,-of.Commencement,is.required (WCf upgrades over$ 500) <br /> Agent(for the contractor)or Power'of,'.Attohiey:--(for:the owner)would be someone ith notarized letter from owner authorizing same <br /> OVER THE COUNTER`PERMITTING`'.` (copy of.contractrequi�ed) <br /> Reroofs if shingles ;$ewers .' ' '''Service':Upg�aiies'•A/C '''Fences(Plot/Surve /Footage) <br /> Driveways-Not over Counter if on public wroadways..needs ROW <br />