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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Perrhiftin <br /> ... ........... ............. ...................... <br /> T'� <br /> Owner's Name (15 4(1 CIA Pko4 Numberi:-77 <br /> 7-- <br /> Owners Address -3 Y 3 Owner Phone Number <br /> Owner Phone Number <br /> JOB ADDRESS U 44 (. owD goe-v' T LOT# <br /> SUBDIVISION PARCELID#1 00S-6-CD000L)- O'SSo <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADD/ALT SIGN DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR F--1 COMM OTHER I <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME STEEL Q r <br /> A <br /> DESCRIPTION OF WORK I VV-7 <br /> BUILDING SIZE SQ FOOTAGE HEIGHT C- . <br /> &144 =BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> 7 <br /> =ELECTRICAL $ AMP SERVICE = DUKE ENERGY = W.R.E.C. <br /> =PLUMBING, 1$ <br /> 7 <br /> 2-- <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION '7,1 1--� <br /> =GAS ROOFING 0 SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> 'A......... <br /> V.A <br /> BUILDER COMPANY r-4- <br /> SIGNATURE REGISTERED I Y/ N J FEE CURREN L_y L N j <br /> Address o a�) 6 9t, 33 f-S-G License J-0-c c 13 3 o 5 <br /> ELECTRICIAN <br /> LE. COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LKLN J <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN D /N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LII_N_j <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N _J FEE CURREN Ly N <br /> Address License# F- <br /> H-W I I I I I I 1 11 a 1 111 N 11 1111111111 a I I I 1111 1 i I I m I I I I I I I I I 111111 1111 <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/Siit Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for sub&isions/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&I 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 /> 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 (copy of contract 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 />