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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 <br /> Owner's Name. ty►! ° �+ca}(pia— ���2.2� Owner.Phone.Number. <br /> Owner's Address rJ(ol 5 is Owner.Phone Number <br /> Phyr14b F_57JS b-- Owner Phone Number <br /> JOB ADDRESS J fo)"1 -h' } rl�+b'I VnL 33 L LOT`#' <br /> SUBDIVISION <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW.CONSTR ADD/ALT � SIGN 0 . 0. DEMOLISH_ <br /> e INSTALL 8 REPAIR <br /> PROPOSED USE•. Q - SFR, Q COMM OTHER, <br /> TYPE'OF CONSTRUCTION Q' BLOCK Q .'FRAME 0 STEEL <br /> DESCRIPTION)OF-WORK ZD10 r>myy 8-eff .11CSL UP ad <br /> BUILDING SIZE I SQ FOOTAGE= HEIGHT <br /> =BUILDING' . $ VALUATION OF TOTAL CONSTRUCTION <br /> .ELECTRICAL, AMP SERVICE ® DUKE ENERGY Q W.R.E.C. <br /> 1 ( 2o ,ao <br /> =PLUMBING <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING = SPECIALTY = OTHER <br /> FINISHED';FLOOR,ELEVATIONS 7 <br /> FLOOD2 ZONE AREA:; =YES. NO <br /> BUILDER COMPANY.. <br /> SIGNATURE REGISTERED I Y/—N FEE CURREN Y/N .. <br /> Address' License# <br /> ELECTRICIAN Jt _ � COMPANY-'32- �+ iC4.t1C� <br /> SIGNATURE REGISTERED IM N FEE CURREN N <br /> Address License# EZW6'0C)f' 3 <br /> PLUMBER COMPANY ' <br /> SIGNATURE aREGISTERED I., Y/'N FEE CURREN <br /> Address License.# <br /> 17 <br /> MECHANICAL COMPANY <br /> SIGNATURE:, REGISTERED Y/,;N FEE CURREN <br /> Address; - License#,-� �. <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L11N <br /> Address License# <br /> I. . <br /> RESIDENTIAL Attach,(2)Piat,Plans;,(2).sets,of.Btiildirig Plans;(1)-set of-Energy Forms,'`WQ-W_Permit for new construction,,. <br /> Minimum=ten:(-10)-working'days'aftersubmittal'dafe.-Required'onsite;'Construction Plans,•Stormwater'Plansw/Slit 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 Ufe.Safety Page;(1)set of Energy Forms,R-O-W Permit for new construction. <br /> 'Minimum ten•.(10)_working.days:aftersubmittal data. Required onsite,Construction Plans,Stormwater Plans:w/Silf Fence installed, <br /> Sanitary Facilitle.s-&1'. urnoster.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#or 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 /> Retools if shingles ..:... Se„w„ers A•- Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Countettf on public roadways:.needs ROW <br />