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813-780-0020 City of Zephyrhills Permit Application rax-o Ia-rou-vvc <br /> Building Department <br /> Date Received - Phone Contact for Permitting <br /> Owner's Name Sieepy&now Mile ome Ls_ 4erowner Phone Number <br /> Owner's Address 8 6 S yl 1 v�j n G Owner Phone Number <br /> • 33,5U Owner Phone Number <br /> JOB ADDRESS 3 2. KenorotAve, LOT# 105 <br /> SUBDIVISION I Sleepy GQ 01 0W PARCEL ID# V�- +� QC)' I0- <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R <br /> NEW CON5TR 8 ADD/ALT SIGN 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 0 SFR C] COMM OTHER <br /> TYPE OF CONSTRUCTION O BLOCK <br /> /� Q FRAME STEEL <br /> DESCRIPTION OF WORK Q Q C e 20o arnaS IrV ,,cp, d D l e- <br /> BUILDING SIZE i SQ FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ � r AMP SERVICE Aoa E�Q DUKE ENERGY a W.R.E.C. <br /> PLUMBING <br /> MECHANICAL VALUATION <br /> $ A UATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING SPECIALTY u OTHER l � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA [ YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREP Y/N <br /> Address License# <br /> /� <br /> ��r..,,. /+ <br /> ELECTRICIAN •- COMPANY C{ rn a(GC r' it,, e, <br /> SIGNATURE REGISTERED Y! N FEE CURREP I Y/N <br /> AddressFMV3352.6 License# 166130013 93 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREP I Y/N <br /> Address License# <br /> MECHANICAL _ COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREP Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N_J FEE CURREP Y/N <br /> Address License# <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/Jarge 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 /> 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 />