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813-780-0020 City of Zephyrhills Permit Application rax-o i o-i ov-vvi i <br /> Building Department <br /> Date Received Phone Contact for Permitting F( <br /> ......... rrrrrrTTTTrr= ........................ <br /> Owner's Name I'C' Ka I S"e v Owner Phone Number <br /> Owner's Address 7 18 Rem "ora ve <br /> Owner Phone Number A , <br /> Owner Phone Number <br /> JOB ADDRESS SA C. LOT <br /> SUBDIVISION Sleepy H:pijow I PARCEL ID#102-26*' 0 - 0000O- 10 40 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR R ADD/ALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE SFR COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK 0 FRAME STEEL <br /> DESCRIPTION OF WORK Replace 200 amp sepo'ce, PD1 e, <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT L_ <br /> iiiiiiiiiH ...I...I—. I.......I............. <br /> =BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION <br /> I­_V�ELECTRICAL $ 110 AMP SERVICE A^ DUKE ENERGY W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA OYES NO <br /> I!I i I I i I o I i i v i 1 2 1 1 1 1 111 v 1 1 1 1 1 k 111 i 1 1 1!1 1 i I l P 1 1 11 1 1 1 1 1 1 1 1 1 1 1 1 1 <br /> BUILDER _� COMPANY 1 <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LILN_�J <br /> Address License# <br /> ELECTRICIAN COMPANY �Qoin fal Pc+r I'C, <br /> SIGNATURE REGISTERED Y/ N I FEE CURREN 1-Y/N <br /> Address 37 0-oda—G49 R 33526 License# I EC 1,30013-t?,3 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ NJ FEE CURREN <br /> Address I License# 7 <br /> HHHHi I I I L4 I I I I I I I I I I I I I I I 1 2 1111111111111111111111111111111111111111111 111111111111 1 1 i I i 1 2 11 f 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(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&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 /> 4T.14=T-1................ ........... ........ <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 />