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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Receiv <br /> Phone Contact for Permitting <br /> ............. ........r"', <br /> Owner's Name A K.0 IS 0 Owner Phone Number <br /> Owner's Address <br /> ,VU,qbo pptVC Owner Phone Number <br /> L Owner Phone Number <br /> JOB ADDRESS F& `767 LOT# <br /> SUBDIVISION F PARCELID#F_ <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADD/ALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE 00 SFR COMM OTHER <br /> TYPE OF CONSTRUCTION E5 BLOCK FRAME u STEEL <br /> DESCRIPTION OF WORK Y SLtftT_CQN1 OF TC A eaQTQV M q JL_ _O(AR PFIN U <br /> BUILDING SIZE F_ SO FOOTAGE HEIGHT <br /> I /1BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL 1$ AMP SERVICE 0 DUKE ENERGY Q W.R.E.C. <br /> =PLUMBING 1$ 4' <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> I <br /> BUILDER COMPANY VT_Y" LAR hrV&Oeg <br /> SIGNATURE REGISTERED L-Y/ N FEE CURREN N <br /> Address <br /> License# FE�__13 QQ 1,-7 L/6 <br /> 06W,PnfdA1" #YL MHPA r�a <br /> ELECTRICIAN 0OMPANY <br /> 4 tiprR <br /> SIGNATURE N FEE CURREN 8W N <br /> REGISTERED <br /> Address 6)100_W,�_'IAWAJVAI -1-113"p-4 License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LKLN__J <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> HHHH! HH! HHHHHHHHHHH++ I I I I I I f ff <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 wl 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 /> iml-11111 <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. (AIC 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.contractlrequired) <br /> Reroofs if shingles Sewers_... S-er'v'i'c';"Upgrades.,:'A/C': Fences(Plot(Survey/Footage) <br /> Driveways-Not over Counter�,if oh-,bubil&idi�a dlw' a'ys.-.-tibed S' ROW <br />