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e13-7804)020 City of Zephyrhills Permit Application Fax-B13-780A021 <br /> Building Department <br /> 10 <br /> .: <br /> Data Received T .Phone Contact for Permitting D <br /> Owners Name zF6&WAI O te &V D OMmer Phone Number 01-3 ' �6 'F57 <br /> Owners Address 383 Z _e Owner Phone Number <br /> Owner Phone Number <br /> JOB ADDRESS J�83Z 10 :�'r Z / T7 3355°2 LOT# <br /> SUBDIVISION : I PARCELID9 1 - -2I=00iu-0473OL'- (213 U <br /> (OBTAINED FROM PROPERiYTAX NOnCE) <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT = SIGN �] = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL = <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE i SC FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = DUKE ENERGY 0 WSLE.C. <br /> =PLUMBING $ <br /> MECHANICAL $ rl� VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE ' REGISTERED I YIN FEE CURREN Y!N <br /> Address License# <br /> ELECTRICIAN COMPANY . <br /> SIGNATURE REGISTERED Y/N FEE CURRE N Lyj N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURRE N LILN <br /> Address J y�1 �f License# <br /> MECHANICAL may// COMPANY G�� 2 �6llL <br /> SIGNATURE /►" REGISTERED I Y/N FEE CURREE/N Lyj N <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y•1 N FEE CURREA Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Penult for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stonnwater Plans w/Slit Fence installed, <br /> San"Facilities&1 dumpster,Site Work Permit for subdivlsionsfiarge projects <br /> COMMERCULL Attedr(2)complete sets of Building Plans plus a Ufa Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Requlreq onsite,Construction Plana,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all now projects.Ail 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$2600,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 PERMITTING •,�„(copy of gpritract r%;red) <br /> Reroofs If shingles Sewers Service Upg'r.4 Os;NO_"": •Fences(Plot/Survey/Footage) <br /> Drlveways-Not over.CDunteoif on public ro-'i- s;rieditgft d <br />