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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received F Phone Contact for Permitting 1( <br /> ..............III I Lyll�� <br /> Ownev`&Nam1_ J t�Ai hn A nii p A �,)cA <br /> A) Tj iJ Owner Phone Number <br /> , Addr.0 ner's Owner Phone Number <br /> ztf Py P_ hi )Is IN Owner Phone Number <br /> JOB ADDRESS- LOT III <br /> SUBDIVISION Ilflto-'4 2lvcc PARCEL ID#1 E- ;2-1 -0/()o 00000—o <br /> (OBTAINED FROMPROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONS*FZ71::�, ADD/ALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE SFR O COMM OTHER,. I <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL <br /> DESCIfIP—WO94517'WORK U, -PVC_ CA, <br /> BUILDING SIZE SO FOOTAGE= HEIGHT <br /> =iruvalirt- 0"�(o rco VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE 0 DUKE ENERGY 0 W.R.E.C. <br /> =PLUMBING <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING Q - SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> H!HHHHHHHHHH"H 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 I I I S I I I I I I H 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 <br /> BUILDER----- LZX <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address 0 M,Ye& 7 t:, C4,4C License# F__ <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED YIN FEE CURREN <br /> Address I License# F— <br /> PLUMBER F COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L_y N_L_j <br /> Address License# F_ <br /> OTHER COMPANY , <br /> SIGNATURE. REGISTERED Y,/ N FEE CURREN <br /> Address License# <br /> HHHHHHH! 1.14HI+ <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 wl Silt Fence installed, <br /> Sanitary Facilities&I 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 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 /> .............. ................---- ------ --- <br /> 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 Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs If shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />