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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received 070 Phone Contact for Permitting /3 <br /> .......Irv,I....... '...�.f I 7J <br /> Owner's Name A A0 W too 117C 'jESAWe f Owner Phone Number <br /> Owner's Addressi A411,ve, Owner Phone Number <br /> lzuAvrhifir, a, _T-Tyc Owner Phone Number <br /> JOB ADDRESS # <br /> LOT <br /> SUBDIVISION PARCEL ID#FO —ol is P?1 162 40— (700,oO— la 0 g <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE Q SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK A C am a /?--y pmd I <br /> BUILDING SIZE SO FOOTAGE CHEIGHT <br /> =BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION <br /> OZ ELECTRICAL 1$ AMP SERVICE DUKE ENERGY = W.R.E.C. <br /> =PLUMBING 1$ <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N_J FEE CURREN L_yl N_J <br /> Address License# <br /> ELECTRICIAN COMPANY I-& 1?&k1 e4hPA <br /> SIGNATURE REGISTERED FEE CURREN L12LN_j <br /> Address MIeV License# r6_CQ00/,.2 4 f <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LYIN J <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address I License# F <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED FEE CURREN Y/N <br /> Address License# <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/Silt Fence installed, <br /> Sanitary Facilities&I dumpster;Site Work Permit for subdivislons/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 w/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 /> !'4 1- H ........ ..................... .... <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,p-UbIIc,roadways..needs ROW <br />