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813-780-0020 City of Zephyrhills Permit Application r ax-o i a-i ou-uuz-i <br /> Building Department <br /> Date Received <br /> rrTTTTrr, Phone Contact for Permitting <br /> Owner's Name Gary G-ordon I Owner Phone Number <br /> Owner's Addressi 3 9 G 9","l Wqm';n-s+er Owner Phone Number <br /> Owner Phone Number <br /> JOB ADDRESS 1 1 LOT# F15 q <br /> SUBDIVISION Fs—leepy Rollow I PARCEL IDO 02-- 2G-21 -0260-t)0000- (g90 I <br /> I (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR 8ADD/ALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION O BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK 200 arniq gervi I C& # po I e, <br /> BUILDING SIZE F— SO FOOTAGE= HEIGHT <br /> 1 1 1111 1114 11-1—... ...... ...... ...... <br /> =BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL ,1 AMP SERVICE 2 00 DUKE ENERGY Q W.R.E.C.1- <br /> =PLUMBING 1$ <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION 4l0-- <br /> =GAS ROOFING 0 SPECIALTY = OTHER V6 <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA OYES NO <br /> HiHHHHHHHHHH lot <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y1 N FEE CURREN LILN L] <br /> Address License# <br /> ELECTRICIAN f COMPANY —�Qr+jj) E1eotriCJt)c-. ----7 <br /> SIGNATURE REGISTERED Y/ N FEE CURREN I Y/N <br /> Address FR7"OY. ..4 31 DO d P,Gly FL 33526 License# I C. 13 0013 93 <br /> PLUMBER COMPANY <br /> SIGNATURE F REGISTERED FEE CURREN I Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N_J FEE CURREN I Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LnN__j <br /> Address License# F— <br /> HHHHH ..............I <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 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 wl Silt Fence installed, <br /> Sanitary Facilities&I 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 /> ............... <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 />