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" 1313°780-0020 City of Zephyrhills Permit Application 0, c Fax-813-780-0021 <br /> Building Department ,,ZN� SU/ <br /> Date Received Phone Contact for Permitting - <br /> ....... .... ........ 7, <br /> $13-8 3-8�82 <br /> Owner's Name h ( r*fmL of' �Q p(Sf UlU1 F /l��u SOwner Phone Number <br /> / <br /> Owner's Address F38-9-3/ JfV ills I135P Owner Phone Number <br /> Owner Phone Number <br /> JOB ADDRESS Tt 3,35 LOT# <br /> SUBDIVISION PARCEL ID# I���� J1 'Qd1 Q - /,5500'U 110 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR B ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 -. COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK jC1PG//iCat 11V PCII&J fVr 3emce. recdonahan <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ �OI, AMP SERVICE f V [ ] DUKE ENERGY Q W.R.E.C. <br /> =PLUMBING $ V <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# f <br /> ELECTRICIAN /K�LI�� COMPANY ' `r le-&"C o[— �hr� 0 Lm,(<.e <br /> SIGNATURE iV/ �� REGISTERED Y/ N FEE CURREN Y/N <br /> Address 2UO4 tics ftd �I�d 54e Io2N w�l p 354`l License# E�, <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_J 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(PlottSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />