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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> 1,AC A <br /> Date Received Phone Contact for Permitting 0 <br /> .............rlrr7"rTT=. ....... <br /> Owner's Name 1 Owner Phone Number <br /> Owner's Addressl c-k- Owner Phone Number <br /> Owner Phone Number <br /> JOB ADDRESS Qft417 C, CA- -7-1411kW111S P1 33 5cl LOT# <br /> SUBDIVISION PARCEL ID# 0SP 00b00 -GtQ <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK ,I 0, sc-ce-er,', lrLxam c5rN a e-;Q-%k4 n a 'S� L5 <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> 11111111114 If's... <br /> =BUILDING 1$t 0 ILI VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE DUKE ENERGY Q W.R.E.C. <br /> =PLUMBING CS$ i 'A//V <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING 0 SPECIALTY = OTHER (C4t.'��� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY %61!:,w4f xor, <br /> SIGNATURE REGISTERED Y/ N' FEE CURREN Y/N <br /> Address iyd 7aai�6ry,-,m J�, -�4 License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L)L/N <br /> Address License# <br /> OTHER COMPANY LL-- <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# I <br /> HHHHR a i 6 4 i I a a a 4 !HHHHHH9"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&1 dumpster;q1je-WDrIk-Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of BTlding Plans plus a Life Safety Page;(1)set of Energy Forms.R-6-w Permit f6r new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plari-s�-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 /> . ................ <br /> Directions: <br /> , <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.(fpr.opg)rp.r);wguld,,be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING <br /> Reroofs if shingles Sewers sbriliab"U,PgraddsniAc (PlottSurvey/Fo6tage) <br /> Driveways-Not over Count&if on-OUblid'io6-diWdy§7.h86d`s'ROW <br />