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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting 3 q <br /> Owner's Name A ee- Owner Phone Number <br /> Owner's Addr e Owner Phone Number <br /> I <br /> n b j.,7r L <br /> i 7;dl Owner Phone Number <br /> U <br /> JOB ADDRESS 1:f ot\woo6 LOT# <br /> SUBDIVISION PARCEL ID# alo - 0-a\ Golp to-00 10 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADDIALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE Q SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK FRAME STEED <br /> DESCRIPTION OF WORK Y � <br /> BUILDING SIZE F 1SQ FOOTAGE HEIGHT <br /> =BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE DUKE ENERGY Q W.R E.C. <br /> =PLUMBING 1$ <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> Pei <br /> =GAS 0 ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA ]YES NO <br /> BUILDER COMPANY REGISTERED <br /> SIGNATURE _Y_LN_j FEE CURREN <br /> Address License# F <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED FEE CURREN L_yj N J <br /> Address License# F— <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# F— <br /> OTHER COMPANY =,Scotrzkcckri--, �2 L-i" �.r�C <br /> SIGNATURE REGISTERED Y/ N FEE CURRtt\ LI±N_j <br /> _Ccog r1i Sri <br /> Address P0 Rcnk 181 S Pw4 ANNN�,o F(-33 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 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;(i)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 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==III i I I i i I I I I i I 1 8 111111 9 1 I i 6 1 i i I I i i i i i I I i I I I I m *1 9 11 i i I I I I I I I I i i i I I i i i i I I I I i i 1 11 a I i 1!1!i 1 111111111!1111 1 11!11 i 111;1;11 i l i a 1 v N 1;;; <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (AIC upgrades over$7600) <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 PERM17TING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PlottSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />