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813-780-0020 City of Zephyrhills Permit Applicatio Fax-813-780-0021 <br /> Building Department <br /> Date Received I-, 3 — D phone Contact for Permitting J -'%J� — Q �p <br /> Owner's Name G-A1l6,rk&v,4 [`" Own <br /> Owner's Address ��O 837 6 sv,7 10 1 Owner Phone Number 7ol-Z-2_ - / <br /> I <br /> l� e Owner Phone Number <br /> JOB ADDRESS _— Ci'f¢/l JOL -e t/�� �i�� C� 333, LOT# <br /> I <br /> SUBDIVISION PARCEL ID# 03 -4/,02/'OCR 'D^6Sd_V- op <br /> (OBT PROPERTY TAX NOTICE) <br /> W,ORK.PROPOSED B NEW CONSTR ADD/ALT © IGN. = DEMOLISH <br /> INSTALL, R <br /> PROPOSED USE = SF C MM = OTHER <br /> TYPE.OF CONSTRUCTION Q BLOCK E = STEEL QJ <br /> DESCRIPTION'OF;WORK / 7i3S GV `PG11'r\� <br /> BUILDING SIZE SQ FOOTAGE D 1p HEIGHT 3 r <br /> =BUILDING $ n 00 VALUATION OF TOTAL CONSTRUCTION" <br /> ®ELECTRICAL $ (/ AMP SERVICE 0 DUKE ENERGY Q W.R.E.C. <br /> e,A)Nec-r To Ek�s7,°^ v ckT <br /> =PLUMBING $ <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> � " . <br /> 0 C <br /> =GAS = ROOFING 0 SPECIALTY = OTHER , <br /> FINISHED FLOOR ELEVATIONS FL•OOD'ZONE.AREA: =YES NC <br /> in <br /> BUILDER f COMPANY, <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address' License# R0/3 <br /> ELECTRICIAN �'� COMPANY <br /> SIGNATURE REGISTERED Y/ NLJ I FEE CURREN Y/ <br /> Address l e 3S License# �3ob5�D <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N IFEE CURREN' <br /> Address License# <br /> i <br /> MECHANICAL 'COMPANY <br /> SIGNATURE REGISTERED Y/ 'N FEE CURREN L11 N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> -Address Lice se# <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 wi 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 Sofety:Page;(1)set of Energy Forms.R-O-W Permit for new,construction. <br /> Minimum ten.(1.0)working days,after sutimittal.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(PlottSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br /> I <br /> 1 � <br />