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813-780-0020 &'*of Zephyrhills Permit Application r ax-o i o-i ou-vuz i <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> rrrTl=........ ....... ITTT= <br /> Owner's Name Sleeey Bollow (h 61 14_ ES ejl;Co Owner Phone Number <br /> Owner's Address 38615 (.Q- ns;nq Am Owner Phone Number <br /> R 33.51121 <br /> "T Owner Phone Number <br /> JOB ADDRESS 139703 Woun;ois+& La V)e, I LOT# F1__5'2__7 <br /> SUBDIVISION �Q_ evy 14o 11ow PARCEL ID#10:Z- 26-al -0260-00000- 15;zo <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR R ADD/ALT SIGN 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK 0 FRAME STEEL <br /> DESCRIPTION OF WORK J .EeplqC6 2 n Ser\t;Ce' d pole, <br /> BUILDING SIZE SO FOOTAGE HEIGHT F <br /> 11111111114 1 <br /> =BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION <br /> N ]ELECTRICAL 11 AMP SERVICE 2 00 DUKE ENERGY W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING 0 SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> I I I I I I I <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LILN__] <br /> Address License# <br /> ELECTRICIAN COMPANY I Mctr+io 0ecin-c inc, <br /> SIGNATURE REGISTERED Y/ N_J FEE CURREN Y/N <br /> Address W10 60)(- Pad 0 Ci+V R 3_3_Y_U License# I PC, 13 06 1383 <br /> il <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ IN FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE F REGISTERED FEE CURREN Y/N <br /> Address J License# <br /> Hill!!!!! '1111,IIHIIIHIHHHHIIIIH HHHHHHH!ill H 11 HIH H HHHH!Hilt I I I I I I f I I I I I I I I I I I I I I I I I 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(16)working d a_ys after submittal-date. Required onsite,Construction Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facilities&I 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 /> .. !' <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 />