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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 1 , <br /> Building Department / <br /> Date Received --I Phone Contact for Permitting <br /> Owner's Name -cT 6 7 A) . JOR �T T Owner-Phone Number <br /> Owner's Address l- 1 A I P, K' b V A) Owner Phone,Number <br /> Z I'iy41 fit L-5 �� 33j Ya) Owner.Phone Number ` <br /> JOB ADDRESS 1IF/I PR _R(C— JI N15 Sr Z6Af YPI WS 3 LOT# d�cZ <br /> SUBDIVISION M Trr.S7ore Ift � PARCEL tD# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED V ONSTR DDIAL SIGN Q Q DEMOLISH <br /> INST LL REP <br /> PROPOSED USE R V , Comm OTHER <br /> TYPE OF CONSTRUCTION H��BLOCK Q .FRAME STEEL 0 <br /> DESCRIPTION OF WORK 13 r�tl X lb t O JE 6 KI rd X wV469 &c:X1 S r e g g Pp R <br /> BUILDING SIZE SO FOOTAGE HEIGHT C � <br /> 444 <br /> BUILDING $ fi 1 �br B� —) VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL s AMP SERVICE Q DUKE ENERGY Q W.R:E.C. <br /> =PLUMBING <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION p <br /> =GAS Q ROOFING 0 SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA =YES NO <br /> BUILDER 4ff� COMPANY <br /> SIGNATU REGISTERED Y/ N I FEE-CURREII <br /> Address License# �— <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Ly/N <br /> Address License#-F <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# F I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> OTHER COMPANY, <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# F <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,Stonnwater Plans w%Silt 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 /> 14 Directions: <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 Powerof-Attomey'(for`the;oiriner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING,',:'; „(dbpyFof,coiitra"ctrequired) i.�. `'":,• <br /> Reroofs if shingles Sewers Service-,Upgrades A/C• Fences(P1ottSurvey/Fo6tage) <br /> 'Driveways-Not WdFCountet if on Lc jr,Qadways..ne'eds ROW �i <br />