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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> rrrrtrrr, Phone Contact for Permitting <br /> Owner's Name - 6pifu VAMP& Rig-A14-0-S-, Owner Phone Number <br /> Owner's Address -4 L V Owner Phone Number <br /> Owner Phone Number <br /> JOB ADDRESS LOT# <br /> SUBDIVISION PARCELID#J 400 101-7 0 ;?0&67 1 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR e ADDIALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE SFR 0 COMM OTHER <br /> 4&4d".e4ff <br /> TYPE OF CONSTRUCTION Q BLOCK FRAME 0 STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SO FOOTAGE HEIGHT F <br /> =BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> ®ELECTRICAL AMP SERVICE Q DUKE ENERGY Q W.R.E.C. <br /> -=PLUMBING 1$ <br /> =MECHANICAL $ VALUATION OF MECHANICAL-INSTALLATION <br /> =GAS Q ROOFING 0 SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED. Y/ N FEE CURREN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/,N FEE CURREN LILN J <br /> .a/ <br /> Address ew&_��Ze 17-/P License# Zf <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L_ILN J <br /> Address F License# <br /> MECHANICAL COMPANY <br /> -SIGNATURE REGISTERED Y/ N FEE CURREN L_X±N J <br /> Address License# F <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N-i FEE CURREN Y/N <br /> Address License# <br /> H2HHH "11111!HHHH! HHHH HHHHH <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 /> .......... 11m, .... <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sigrf badk-ofapplii <br /> If over$2500,a Notice of comr�i6ceT*d'n"f'is'r,e*qUii6d.-"(,AJC upgrades over$7500) <br /> Agent(for the contractor)or Power of A dWn4ty would be someone with notarized letter from owner authorizing same <br /> Attorney(for the Wo <br /> OVER THE COUNTEWPERMITTING' (copy of contract required) <br /> Reroofs if shingles SeWdrs'­­` Sie'rvj6e Opgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />