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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received /✓ a�'t Phone Contact for Permittin <br /> L �7- <br /> Owner's Name ll te oQ A T� � ,� O er Phone Numlaer <br /> Owner's Address <br /> y/C De / D Owner Phone Number <br /> f¢ eL G Owner Phone Number <br /> I <br /> JOB ADDRESS 79 II c L i L c /Q4C G �Gr ��/ � LOT# <br /> SUBDIVISION PARCEL ID# 03-.94-21- cog) - 0 3 2 00 "C7a <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR B ADD/ALT SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL = <br /> DESCRIPTION OF WORK <br /> i <br /> BUILDING SIZE /�/O Il%/CD�¢ SQ FOOTAGE »�o HEIGHT <br /> =BUILDING' . VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE = DUKE ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION fin <br /> =GAS = ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO ?j�%YY`� <br /> __�I"I <br /> BUILDER COMPANY �r�+� c'iCCllrlLC% sc .Q Ize—, <br /> SIGNATURE WT REGISTERED / N FEE CURREN LY/N <br /> Address , License# <br /> ELECTRICIAN �` COMPANY /� tJ ,SC v P/_rs �La2 ' <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LY/N <br /> I <br /> Address <br /> License# a <br /> PLUMBER COMPANYE: <br /> J <br /> SIGNATURE REGISTERED Y/ N FEE CURREN " Y/N <br /> i <br /> Address License# <br /> i <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> I <br /> I <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit forinew 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 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 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,not <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 /> I <br /> I <br />