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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting F <br /> .........rrrrrrrrr gis ...... ................. <br /> Owner's Name Owner Phone Number <br /> Owner's Address 6'rill Pvd. 'Af6' y,/Q(1 Owner Phone Number <br /> F_ Owner Phone Number <br /> JOB ADDRESS 5 5 6r,I b)W. ?fP11 y r A I'//J LOT III <br /> SUBDIVISION PARCELID#1 ?1 —00)0-05700-02-50 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR R ADD/ALT SIGN DEMOLISH <br /> R - INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK E:] FRAME STEEL <br /> DESCRIPTION OF WORK kIRrne/ �ollhvel bu <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING 1$ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> E096ECTRICAL J$ W.R.E.C. <br /> &0 OJ AMP SERVICE <br /> =PLUMBING $ <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING 0 SPECIALTY OTHER lvf <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO 6.1 <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LILN_j <br /> Address License# <br /> t)AV%d HNN-rd tiv-f!r)c <br /> ELECTRICIAN COMPANY db(A fw�-r I*'I'l 4x flee*1 C <br /> SIGNATURE REGISTERED Y/ N I FEE CURREN L_X1 N J <br /> Address 1 b0r Rd I License# F�7t—!_5 a e) 5 <br /> ­w! . <br /> "&A V10S,0 e+rI c <br /> PLUMBER COMPANY 14A %r 042s r Qc&i�jc <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN License <br /> Address <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.&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&I 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*badk'ckapplicatipri,notarized <br /> If over$2500,a',Notice of Cornrhdn4;er!nqnt-.;s'required.,,,(NC upgrades over$7500) <br /> Agent(for the contractor)or,P6w6r of'Aftqmey.(for t4ownet)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNT R_,PkkM' '1TTIKQ,' '(do'P9':.0f!60'htr iict required) <br /> Reroofs if shingles Sewers !S'rv'lc?`-e upgrades:" �:k& 4 Fences(PlottSurvey/Footage) <br /> � <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />