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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> i <br /> t I q Phone Contact <br /> Date Re ceived for Permitting <br /> Owner's Name �a �o� M'orrispn of FloriAq Owner Phone:Numberj <br /> 111 <br /> p �l <br /> Owner's Address 55� N. C. Acm n 1\ #t 2W Owner Phone Number <br /> 11 <br /> Sara,Sota L 3 v-5,Z Owner Phone Number <br /> i <br /> JOB ADDRESS �31(o S;lr,ohs Ze l,i,1S r R 3-35`12• LOT# <br /> SUBDIVISION PARCEL ID# 0 4" 2 L-21- bbo0 C6 Co - ebgO <br /> '(OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = = , DEMOLISH <br /> e. INSTALL R 'REPAIR <br /> PROPOSED USE = SFR 0 Comm OTHER <br /> TYPE OF`CONSTRUCTION = BLOCK Q FRAME 0 STEEL '0 <br /> DESCRIPTION OF WORK- <br /> BUILDING SIZE SO FOOTAGE HEIGHT • <br /> ®BUILDING '7� $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTIL . $ AMP SERVICE = DUKE ENERGY 0 W.R;E:C. <br /> I <br /> i <br /> =PLUMBING $ J' <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION_ <br /> =GAS = ROOFING, 0 SPECIALTY = OTHER o \\ <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONEAREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE _ REGISTERED 1,CY4 N FEE CURREN p <br /> Address 3 0 .I"l egrs �I� Q�ds . �1- 314-7 7 License# �G � ��J�� 1�7 <br /> ELECTRICIAN <br /> try _ - ' GURSIGNATURE RV=.1,Y/_N <br /> Address License_#--- -------.._._�---, <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/- N FEE CURREN Y/N <br /> Address License#, <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1. Y VN - FEE CURREN Y/,N' . <br /> Address License#1 . <br /> OTHER COMPANY <br /> a SIGNATURE REGISTERED Y/'N FEE CURREN <br /> Address License.# <br /> ——RESIDENTIAL Attaoh(2)Plot•Plans;-(2)sets of Building Plans;(1)set of Energy Forms;,R-O-W`Perrnit for new construction,• <br /> Minimum ten(10)working days after,submittal'date.•Required onsite,,Construction Plans,:Stormwaten Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 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.Ri 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 /> 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 />