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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 V <br /> i:a=EM31===1 <br /> Owner's Name 5-1 FU 5A) I:L742 E iz Owner Phone Number <br /> Owner's Address T3*3 G I-M&t4L 4&0 �0 Owner Phone Number <br /> Z (,L s L Owner Phone Number <br /> -733 (� 1,4-Gi41_W_,U <br /> JOB ADDRESS J_ 49 Loo LOT# <br /> 0 1 o <br /> SUBDIVISION V FJ PARCELID9 ico— 0001x> — 001 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADD/ALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE 0 SFR COMM OTHER sU T—PIf L. <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL 0F_ <br /> 0 A.1 OC.0 C I, AVO f Z -a L4c Lr' t��714 \JZ ju y I- [_-(�vc6i <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE L SO FOOTAGE HEIGHT I ;:z 9% <br /> 1?0 (-� f I t4 t <br /> !I!loll <br /> =BUILDING 0—0 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL AMP SERVICE DUKE ENERGY Q W.R.E.C. <br /> [PLUMBING <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS 0 ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES CNC_�) <br /> BUILDER r by 4�7(�COMPANY )l <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N_J FEE CURREN <br /> Address i License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LKLN J <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N_J FEE CURREN L_yl N_J <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED FEE CURREN <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 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&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 /> 1111 i 1111111111111 i 1 9 i i i i 1 9 i i I I I I I i I i I i I i i I i i i I I I I I I I I II II II II i I i I I I I ... ....... <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 /> Driveways-Not over Counter if on public'roadwiys..needs'ROW <br />