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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received t,Z• 1 LA • 0 Phone Contact for Permitting 1Z-1 272- - (� 5 QQ <br /> Owner's Name N k Cf 1 0Lac S Owner Phone Number <br /> Owner's Address s 1 I n Owner Phone Number <br /> �e, h Owner Phone Number <br /> JOB ADDRESS 4 ` l S LOT# <br /> SUBDIVISION lr �e�ze PARCEL ID# Q --O RO-OCOCO-Q)38O <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R <br /> NEW CONSTR E <br /> ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION /= BLOCK = FRAME ,^r= STEEEL� IQ,,, 1 1 t <br /> DESCRIPTION OF WORK C 1 SI Y'�J� wk fJ��s 1v be— Ln5 1 z1\ -L4 C` <br /> BUILDING,SFZE SO FOOTAGE= HEIGHTF-VI <br /> BUILDING $(� ` Q`-I .�-+ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ {Q 1 AMP SERVICE 0 DUKE ENERGY Q W.R.E.C. <br /> =PLUMBING $ z <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION / / j / <br /> GAS ROOFING SPECIALTY OTHER <br /> = 0 � � V <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY LXJ I I�'�/Y-S <br /> SIGNATURE �J `c• REGISTERED Kyy N FEE CURREN <br /> Y/N <br /> Address 1 C J 1 v'e. License# C-6use^-1 l <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I 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 />