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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Deparment <br /> Date Received' .Phone Contact for Permi ing — <br /> Owner's Name � �,Q/1 .Owner Phone Number <br /> Owner's Address CTO U v l k,_ !114 Ati 211w2- Owner Phone Number <br /> Owner Phone Number <br /> JOB ADDRESS l U� J I L-0— 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 0 COMM OTHER <br /> TYPE�OF CONSTRUCTION Q BLOCK 0 FRAME STEEL <br /> DESCRIPTION OF WORK C QV---y-,M 01J <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = DUKE ENERGY 0 W.R.E.C. <br /> =PLUMBING $ <br /> Z�Z'1'1 <br /> `©MECHANICAL $ / I�^ VALUATION OF MEC ANICAL INSTALLATION <br /> =GAS = ROOFING Q 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 <br /> SIGNATURE REGISTERED Y/ N­ FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY Acv�js �ew \ h LLL <br /> SIGNATURE p REGISTERED Y/ 'N FEE CURREK Y/N <br /> Address tA 913 C a S�C / h e ) 1 f License# I.C v g 7 S© <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)•Plot Plans;(2)sets of Building Plans;(1),set of Energy, orms;-R-O-W Permit fornew construction,- <br /> Minimum ten(10)working'days after submittal-date.-Required on ite,Construction Plans,StonnwaterPlans w/-Silf Fence-installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivision /large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a•.Life Safety:Fage (1)set of Energy Forms.R-O-W Permit for new••construction. <br /> Minimum ten.(10)working days,after submittal date.,Required on ite,Construction Plans„Stormwater P.lans.w/.Silt.Fence installed, - <br /> Sanitary Facilities&A dumpster.Site,Work Permit for ail new proj cts.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'y,---(copy.;of po_ntract_ _required) <br /> Reroofs if shingles Sewers `5S'eivice:jQ0gr40es'.,A7C.. -;Fences(Plot/Sury y/Footage) <br /> Driveways-Not over Counter:if on public_roadways,neWs;ROW <br />