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-313-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> .. .......................... <br /> Owner's Name Elf'V\C1, Ck 1A 5 e (-'J Owner Phone:Number <br /> ownees Address s F 41 <br /> g q�L 1-7 Owner Phone Number <br /> C6' 33'5q;�] Owner Phone Number <br /> JOB ADDRESS LOT# <br /> SUBDIVISION PARCEL 10# no o o- 01 (" G <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK-PROPOSED NEW CONSTRR ADD/ALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER <br /> TYPEIPF CONSTRUCTION Q BLOCK 0 FRAME Q STEEL <br /> K Ila ]Qy\ �10(j W( '50114 SCA91fl/vl 'C'qLAJ3 d)k�� 1 <br /> DESCRIPTION.OF WORK <br /> V <br /> BUILDING SIZE SQ FOOTAGE[__ HEIGHT. <br /> =BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE Q DUKE ENERGY 0 W.R.E.C. <br /> =PLUMBING 1$ <br /> ZIMECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING 0 SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> ill-1111 1IIHNNIffil Nil,14111 <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L_yl N <br /> Address License# F_ <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/.N FEE CURREN LXLN J <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# F <br /> r 7 <br /> MECHANICAL COMPANY Flo ­ <br /> SIGNATURE REGISTERED Y/ N- FEE CURREN L_YLN J <br /> Address I A)0rH"ACdP <br /> License# FcAmmv <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y 1 N, FEE CURREN <br /> Address License# <br /> RESIDENTIAL Attich'(2),Plot.Plans;(2)sets of 861100'9;Plansf,(I)set 6f.Energy.Formsi:R-O-W-Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Slit Fence installed, 1 <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 Pbge;(1)set of Energy' .Forms.R-O-W Permit for new construction.. <br /> Minimum ten(10)working da"ys"siftersubmittat'd6te. Required`onsite,Construction Plans,Stormwater Plans*w/Silt Fence installed, <br /> Sanitary Facilities&*1-dumpster.Site Work Permit forall 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 /> 444 44�111'Ill NNEE11.3111 III PAII51 <br /> - ----------- <br /> Directions. <br /> Fill ouf application completely. <br /> Owner&Contractor sign-back of application,notarized <br /> If over$2500,a Notice'of Cbffimenc6iijeAf ii'i44tiii dup"grades over$7500) <br /> Agent(for the contractor)or Powenof, qy;,#qr)Pq,owhqe)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING"A­'l,'-,; Copy 6 cop"-pfrequ!�reg <br /> ervice p.grades'AIC {Plot(Survey/Fo6tage) <br /> Reroofs if shingles Sewers 'S -U <br /> Driveways-Not over Counter If on public roadways..needs ROW <br />