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813-780-0020 City of Zephyrhills Permit Application Fax- 0021 <br /> Building Department --�~��, , <br /> 7 <br /> Date Received <br /> Phone Contact for Permitt' g <br /> rrrrrrrrrrrrr3=...... ....... .............vill.,............ -1711-M <br /> Owner's Name <br /> Owner's Address Owner Phone Number <br /> Epp fO/i-/-4 3:3-S, Owner Phone Number 9/s V,7 f3S-9t6 <br /> JOB ADDRESS _-3S 0 L A-(:; 14'1 LOT# <br /> SUBDIVISION PARCELID#1 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR e 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 WO,RW- <br /> BUILDING SIZE j fix. SO FOOTAGE HEIGHT <br /> [_..�L!J <br /> �BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE/opA) DUKE ENERGY W.R.E.C. <br /> 4. All <br /> =PLUMBING $ <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS 7 FLOOD ZONE AREA =YES NO <br /> 0 <br /> BUILDER CCOMPANY U-> c' <br /> SIGNATURE REGISTERED Y/ N_J FEE CURREN <br /> Address License# F_ <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Lyl N J <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY L_ <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LKLN_j <br /> Address License# <br /> HHHH! 1HHHHHHHH <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;Site Work-Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Buildin'g 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&I dump§ter.Site Work Permit for allnew projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ****PROPERTY SURVEY requked for all NEW construction. <br /> 414 11 i I i I I I I <br /> Directions: <br /> = ns: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice,of Com encement.is rpqyl <br /> F,14 INCupgrades over$7500) <br /> Agent(for the contractor)or Power of?-Aft6rrf&)7,(for.the.own634ould be someone with notarized 10q�,�rqm•owner authorizing same <br /> OVER THE COUNTER PERMITTING p.y' o con iacfzredu.Ired <br /> Reroofs if shingles Sewers `S I ii"g,fa",6.s,,-;, (PlottSurvey/Fo6tage) <br /> �t­�'ii�� on public roadways..nee s ROW <br /> Driveways-Not over Coun r1fi­ <br />