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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 <br /> 331333:M=..... .................. .......... ........ <br /> r Owner's Name _A1_j1J I t-31 3 <br /> t1C,A AA'r Owner Phone-Number <br /> Owner's A ddress FT�QS_ Owner Phone Number <br /> F,Ls -3* Owner Phone Number <br /> JOB ADDRESS a4wrhilk -EL. 3&5`16 LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT Q SIGN DEMOLISH <br /> e INSTALL e REPAIR <br /> PROPOSED USE Q SFR COMM F 71 OTHER 17-V_�621 <br /> TYPE,OF CONSTRUCTION Q BLOCK 0 FRAME STEEL <br /> DESCRIPTION.OF WORK G, Inrll li IN �elic C <br /> BUILDIN9,SIZE-]'.FOOTAGE HEIGHT.. F <br /> [BUILDING <br /> VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTkICAL--- AMP SERVICE Q DUKE ENERGY Q W.R.E.C. <br /> =PLUMBING LIV <br /> V7 f 1 '01' <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING 0 SPECIALTY E:E� OTHER <br /> FINISHED FLOOR ELEVATIONS —7] FLOOD ZONE AREA =YES NO <br /> HHHHHHHHHHH 1HHHHHHm 11114 <br /> 17T <br /> F bi g Lt, <br /> I Y/ N I -Y,/ <br /> BUILDER JM ANY <br /> SIGNATURE _J FEE CURREN N <br /> Address 4e C 14 License# I U-70001IM6 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LILN J <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED FEE CURRqh Ly <br /> L N_J <br /> Address License# F <br /> MECHANICAL -COMPANY <br /> SIGNATURE REGISTERED FEE CURREN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE <br /> REGISTERED Y/ N- FEE CURREN Y,/N-. <br /> Address License# F_ <br /> HHHH !HHHHHHHHHHHH!IF!1 HILIIIIll 11 H I I I I I I I I.!H!1 H 1 H 1 H 11 <br /> RESIDENTIAL Attkh�.(2)PlofPlanis;(2)sets`of B UAdiribJPIq9§;,,(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 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)*workIngdiyi after submittaVdiffe.-Required onsite,Construction Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All com m ercial.requirements must meet compliance <br /> SIGN PERMIT Attach(2)Sets of Engineered <br /> eered Plans. <br /> ****PROPERTY SURVEY required for all NEW construction. <br /> '4"4444,"" IJ .............1._­­....... <br /> Directions: ---- ------- ------- <br /> Fill out application completely. <br /> QwneLA-contractor sign back of application,notarized <br /> Ifooer-$"11. 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/Fo6tage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />