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813-780-6020 City of Zephyrhills PeIrmit Application Fax 813-780-0021 <br /> Building Department <br /> Date Received J l s f 2Phone Contact for Perm I I tting <br /> TT .............. 0 <br /> Owner's Name /1'.%011--1 Irolhtts Owner Phone Number <br /> Owner's Address rij[!U% 0-*A i Owner Phone Number <br /> ie <br /> t a,.n Ct owner Phone Number <br /> F <br /> JOB ADDRESS 40 ci r ;T1, ZzA in. I Is LOT# <br /> SUBDIVISION PARCEL ID# 6-Zl- 0110 - 4Z 10 0- ooAa <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADD/ALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE Q SFR 0 Comm OTHER I <br /> TYPE OF CONSTRUCTION Q BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> =BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL AMP SERVICE 0 DUKE ENERGY 0 W.R.E.C. <br /> =PLUMBING 1$ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA [ YES NO <br /> HHHHHHHHHHH HHHH!HHHH! HHHHH HHHHHH HHHHHHi HH!H mws v i 1 <br /> BUILDER COMPANY i(o CIC r;,' tkA e_rc" ; %5 4,S <br /> SIGNATURE REGISTERED 1 ,1V1 N ' FEE CURREN . I 'Y/N <br /> Address License# <br /> ELECTRICIAN, COMPANY <br /> SIGNATURE REGISTERED Y/ N_J FEE CURREN L_yl N J <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LYL/N� <br /> Address F License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LKLN_j <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N_J FEE CURREN <br /> Address License# <br /> M+H HHHHHHHHH I I I I I I I I I I I I H I I I I I I 1 2 11 <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 onsiter,Construction Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facilities&I 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 wl 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 /> D==14 <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 w th notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs If shingles Sewers Service Upgrades A/C Fences(PlottSurveyl Footage) <br /> Driveways-Not over Counter if on public,roadways..needs ROW <br />