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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> TTTIT= -Phone Contact for Permitting <br /> TTTTrM ....31=033311= <br /> Owner's Name hrid Ir &4-e-LkVV%J_1 Owner Phone Number <br /> Owner's Address 16—Z/-/0 u) -Sh X-17 Owner Phone Number <br /> Owner Phone Number <br /> go rgo 4 <br /> JOB ADDRESS LOT# <br /> SUBDIVISION PARCEL 1D#1 _y�) ^ 00 0 0 03 ] VV— 0 0'00 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADD/ALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE F/\1 SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME u STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SO FOOTAGE= HEIGHT <br /> =BUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> [ELECTRICAL i$ AMP SERVICE Q DUKE ENERGY 0 W.R.E.C.' <br /> PLUMBING [$_�060 <br /> =MECHANICAL 1$ VALUATION OF.MECHANICAL INSTALLATIO,( c_- <br /> =GAS Q ROOFING Q SPECIALTY F"�"7 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> i i i I i i i f u i i i i i i 1 2 8 1 1 11 a 2 i i v i i i v M i i N i M M a i i I I I i I i i i N i i i i i M i i i i i i 2 i 2 i ffi v i i N i i i i i i I i ff i v I i i i i i i i i i i i i i i i i i 2 i v i i i B i i i <br /> BUILDER COMPANY I <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LILN J <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED LIL N_J FEE CURREN <br /> Address' License# <br /> PLUMBER e .....„ _ <br /> COMPANY or-M <br /> SIGNATURE REGISTERED K AY N I FEE CURREN L_YLN_j <br /> -7 <br /> Address License# IC6 F ,O'S 6 Q:7 <br /> MECHANICAL COMPANY I <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LKLN_j <br /> Addres.s License# F_ <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 w/Slit Fence installed, <br /> -Sanitary Facilities&A 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 wl Silt Fence installed, <br /> Sanitary Wapilitlei&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 /> D=.n--,s: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500) <br /> Agent(for the contractor),or,Ppwpr.of Aftomey.(for-therowneT)vould be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING 9.1 <br /> Reroofs if shingles 5ewers :Fences(PlottSurveyffiootage) <br /> Driveways-Not over,Counter1f on'public�roadways`.ne O;,ROW!-. <br />