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IF <br /> 813-780-0020 City of Zephyrhills Permit Application rax-o -iov-vuc i <br /> Building Department <br /> Date Received Phone Contact for Permitting -- <br /> Owner's Name Vavdr+ 7' <br /> Owner Phone Number <br /> Owner's Address 37 Way' rLci n Owner Phone Number <br /> Owner Phone Number <br /> JOB ADDRESS S G> LOT# 15 <br /> SUBDIVISION 1j e ep 4d �w/ I PARCEL ID# � 1—;Z1� -r4I—Q Z 6 — Q 7 is 6 o <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R <br /> NEW CONSTR R <br /> ADD/ALT SIGN 0 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK Replace 2oQ arnie sendic 9, 0 P o <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> =BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> ( ELECTRICAL $ ,, AMP SERVICE200 DUKE ENERGYIIJ a W.R.E.C. <br /> PLUMBING <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING SPECIALTY = OTHER t t1 <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO G <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License#G1 <br /> ELECTRICIAN - 'f COMPANY Qrh'✓l 1� C. <br /> SIGNATURE REGISTERED Y/ N FEE CURREN /N <br /> Address D _7 License# EC 30013, 3 1 <br /> PLUMBER COMPANY <br /> SIGNATURE F REGISTERED Y/ N FEE CURREN LYLN <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE i REGISTERED Y/ N _J FEE CURREN Y/N <br /> Address License# 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 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 />