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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> J Building Department <br /> Date Received Phone Contact for Permitting 5/3 J CId-9 - -- -71 <br /> - . �N <br /> Owner's Name 1 .911 - <br /> tl.qn�Un.Number <br /> T—r Owner's Address 1,0010 Owner Phone Number <br /> ItIeW-WY CJ-1A-Pet F1 3 3:5-qg- Owner Phone Number <br /> JOB ADDRESS 3 3 LOT# <br /> SUBDIVISION PARCEL ID# 0/0 3 0/') 6,2/ <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR 8ADD/ALT SIGN DEMOLISH <br /> a INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL F <br /> DESCRIPTION OF WORK -25L/?,vv/'=1'-OW-r rICH -4 1)b 1 7 0 At A fflz�tj'&V 9 6 t4 C-12A <br /> BUILDING SIZE I U a Sal FOOTAGE HEIGHT <br /> ®BUILDING "' 3 1 '.5 VALUATION OF TOTAL CONSTRUCTION' —00 1 <br /> =ELECTRICAL 1$ AMP SERVICE 0 DUKE ENERGY 0 W.R.E.C. <br /> =PLUMBING 1$ <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING SPECIALTY 0 OTHER 5V/ <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> ��f� <br /> 4 <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L11 N_J <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address . License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LXLN J <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED L—=N FEE CURREN <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# F- <br /> H!HHH <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/Slit Fence.installed, <br /> Sanitary Facilities&1 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 /> actions: 14 4444 Q-444x" 1.14 <br /> \Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> ant(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> \iE COUNTER PERMITTING (copy of contract required) <br /> 1shlngles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> ays-Not over Counter if on public roadways..needs ROW <br />