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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Recei4ed <br /> Phone Contact for Permitting <br /> .... ...... ........ <br /> Owner's Name T Owner Phone Number <br /> Owner's Address[ toi e0 ke Owner Phone Number <br /> U"k\\S� �L Owner Phone Number <br /> Q <br /> JOB ADDRESS U\,AyeAg L. �3S4=1 LOT# <br /> SUBDIVISION PARCELID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONISTR 17C11 ADD/ALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM O OTHER <br /> TYPE OF CONSTRUCTION BLOCK F__1 FRAME 0 STEEL <br /> DESCRIPTION OF WORK (Ja-cao�t \J PILLVI, <br /> 1 -7 <br /> BUILDING SIZE L:j� 6'x SCI FOOTAGE A� HEIGHT C�i 3 •� <br /> I I I I I I I 1 14 <br /> BUILDING c VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL 1$ _30 0 0V AMP SERVICE DUKE ENERGY Q W.R.E.C. <br /> �Zco <br /> ®PLUMBING 4V <br /> lip �d—o <br /> C5;_1_1MECHANICAL VALUATION OF MECHANICAL INSTALLATION 2-s'e-7/lIP- <br /> 1' ,2 6 00 "'o 1 '07 <br /> OCAS Q ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> < <br /> BUILDER COMPANY <br /> SIGN :URE-. REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# F_ <br /> AN �Ao V­� Caw <br /> � <br /> ELEC T,RIC <br /> COMPANY <br /> -!AN <br /> SIGNATURE REGISTERED FEE CURREN <br /> Address License# F_ <br /> &0- <br /> PLUMBER­ COMPANY 0 v— <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LYLN J <br /> Address License# <br /> MECHANICAL-a-- COMPANY vim.L 0w <br /> h SIGNATGRE REGISTERED FEE CURREN Y/N <br /> Address License <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LILN_j <br /> Address License# <br /> HHH!H HHHHHHHHHHHHH!if HHHHHHH HHHH11H!I! I 11-14-ft"I I I I I I I I I I I I I I H+ <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&I 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 /> ................ . <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice m of-Comencement,is.required, upgrades over$7500) <br /> ............ <br /> Agent(for the contractor)or Power of AtfdiAiiy{ior:ihe'lowniarl.W601d,be someone with notarizedIdtfee,froniowner au on tng same..,, <br /> OVER THE COUNTER PERMITTING 'pybf,6ontract[equired).-,., <br /> Reroofs if shingles Sem/6�§. Servide'U grades,NiC F.,.pnces(Plot/Survey/Footage), <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />