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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Received rA -193 <br /> Phone ContactDate Re for Permitting Z�b <br /> rrrrrrM.LL&44jjj.L rrTTfl.-rT17rrTTTT7TT7T7r"_1_1_ <br /> Owner's Name Owner Phone Number <br /> Owner's Address 3 7 <br /> Owner Phone Number <br /> Owner Phone Number <br /> r <br /> JOB ADDRESS 6f a LOT# <br /> SUBDIVISION PARCEL ID#1 _Z6-21-6V, 16-111J6-605C) <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED rM NEW CONSTR ADD/ALT SIGN DEMOLISH <br /> INSTALL e REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK FRAME -STEEL <br /> DESCRIPTION OF WORK /0 15A <br /> BUILDING SIZE r SO FOOTAGE[� HEIGHT. <br /> BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE 0 DUKE ENERGY Q W.R.E.C. <br /> =PLUMBING 1$ <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION 0A)0-C <br /> =GAS Q ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> A/n <br /> BUILDER COMPANY <br /> SIGNATURE(' REGISTERED Y_/ N FEE CURREN LILN J <br /> Address License# F <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address 7 License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N_J FEE CURREN <br /> Address License# <br /> OTHER COMPANY L_ <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# I <br /> !!!Hill! H-41111 I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I 1 9 11111 1111111111111 11111111 11111111 fill lHHHHH if HH f III! <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 subdivisionsAarge 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 /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice,ofLCommenqem9pt is required. ,(NC upgrades over$7500) <br /> Agent(for the contractor)or Pow4ii�6f..,AttbMiay..(for.the,.dW er)Would be someone With <br /> OVER THE COUNTER PERMITTING' y'acontract.required) <br /> Reroofs if shingles �--'��,,'..' Fences(Plot/Survey/Fooiage) <br /> Driveways-Not over Counter if on public roadways..nee W <br />