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813-780-0020 City of Zephyrhills Permit Application rax-oirrou-uuci <br /> Building Department <br /> i <br /> Date Received Phone Contact for Permitting -- <br /> Owner's Name Q w S I Owner Phone Number <br /> �ry 1 F <br /> Owner's Address L? �^j�� �� Sy Owner Phone Number <br /> vAills R_ 33541 Owner Phone Number �— <br /> F_ <br /> JOB ADDRESS 133632 e Or Ave, LOT# t S <br /> SUBDIVISION P P10�► 110(A) PARCEL ID# U�—a6^ot' — V w V— oOot) — Q —1 SU <br /> r (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R <br /> NEW CONSTR R <br /> ADD/ALT ] SIGN 0 Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 0 SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION O BLOCK FRAME STEEL O <br /> DESCRIPTION OF WORK 19ev IqC e 2,00 cilmo. SQry ce 4 Q I e- <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> =BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION <br /> R77ELECTRICAL 1$ D�J AMP SERVICE 2Da ( DUKE ENERGY a W.R.E.C. <br /> OPLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS 0 ROOFING SPECIALTY tI OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO C.IY <br /> BUILDER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address 7 License <br /> # <br /> ELECTRICIAN ,.� COMPANY `,-�(eGT h IBC Inc <br /> SIGNATURE REGISTERED Y/ N FEE CURREN I Y/N <br /> 44 <br /> Address F69cy. 4?7 VcWiDoyJ r�3s:t License# G13 0013 93 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N_J FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN 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/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 />