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813-780-0020 City of Zephyrhills Permit Application rax-o i a-i ou-vvi i <br /> Building Department <br /> Date Received <br /> Phone Contact for Permitting F <br /> ...........rrrr, ............. <br /> Owner's Name K I Ckay'd 'Fe)-rel I I Owner Phone Number <br /> Owner's Address F7316a6, Kee omAv e. I Owner Phone Number <br /> Owner Phone Number <br /> JOB ADDRESS R1 M e, LOT# I q 4, <br /> SUBDIVISION 1!2 ey V 40110 PARCEL ID#102-:Z6-.21 ­0260- D0000- 09 4 0 <br /> 1 (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED . NEW CONSTRF7 ADD/ALT SIGN DEMOLISH <br /> H INSTALL REPAIR <br /> PROPOSED USE SFR COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK Qce 2 DDqmr Xery i( e, 4 pol e <br /> BUILDING SIZE SO FOOTAGE HEIGHT 1 7 <br /> 11111111114 111 i .................. <br /> "BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL 1$1 AMP SERVICE DUKE ENERGY W.R.E.C. <br /> 025 2o o <br /> =PLUMBING 1$ <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA OYES NO <br /> I I i I I I I i i I I I I I I I i I I I I I I I i I i I I I i I i I i I I I I i u I 1 11 1 1 1 111 v I 1 111 1 11 1 1 f 1 11 1 11 1 <br /> BUILDER COMPANY I <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LILN J <br /> Address License# <br /> ELECTRICIAN COMPANY E=00_ in L=-14e'!' c4r;c' Inc, I <br /> SIGNATURE REGISTERED Y/ N_J FEE CURREN 1 -Y/N I <br /> Address IFORoX4,37 DadO+y PL33-0—C License# I EC 00 13 93 <br /> PLUMBER COMPANY <br /> SIGNATURE F REGISTERED Y/ N FEE CURREN <br /> Address F_ License# F_ <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L11 N J <br /> Address i License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# F_ <br /> HHHHH HH-+ H!HHHHHHHH <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 /> 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 /> R.eroofs if shingles Sewers Service Upgrades A/C Fences(PlottSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />