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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting F <br /> L4444AA.LL LL" LL... <br /> Owner's Name Owner Phone Number <br /> Owner's Address S7- Owner Phone Number <br /> Z ff PlyUL 611&6 5 14 F4. Owner Phone Number <br /> F_ <br /> JOB ADDRESS fh Z6P1-11vlelw(,6_5 r-4- 3�267y,,P LOT# <br /> SUBDIVISION PARCEL ID#1 -d-& -J/-01)/ L) -03S-a 6)- D0YI <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONISTR R ADD/ALT 0 SIGN 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK Q FRAME 0 STEEL <br /> DESCRIPTION OF WORK s11v6z,(F- FAfi)`144V AfJM6_ <br /> BUILDING SIZE I 5f X _Tol, 41 jj SO FOOTAGE= HEIGHT (�� <br /> BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION <br /> ©ELECTRICAL qd AMP SERVICE DUKE ENERGY W.R.E.C. <br /> F5;'JPLUMBING 1$ U 7- <br /> ©MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 6 061 rl <br /> -5- <br /> =GAS 0 ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES N <br /> HH <br /> COMPANY <br /> BUILDER /`/ CeN)7WC776W <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address AID License# rC c / 3:5-1:5 <br /> ELECTRICIAN 57 COMPANY 9-6 772/C_ <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address /:I, License# R'c, - (3 00 52, <br /> PLUMBER COMPANY 7-R,0V ,0fDR,47.A P(-LJn7811VG <br /> SIGNATURE REGISTERED I Y/ N_J FEE CURREN Y/N <br /> Address <br /> ,0 1V&fpeg1y1(17_ ,?q License# lv. n <br /> MECHANICAL f COMPANY W?�� 50ZOC61:51 IAI(f- <br /> SIGNATURE Gti REGISTERED _J FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N_J FEE CURREN <br /> Address License# F_ <br /> I 1 2 1*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 111-14 11 f I I 1.141111 It I I I I i I I I I I I I I I I I i+ <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 aftei submittal date. Required onsite,Construction Plans,Stormwater Plans wl Slit 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/Slit 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 Commence ment.is ypkqyired,,_(NC upgrades over$7500) <br /> Agent(for the contractor)or Power of Attorney*(for-theoWner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER,PERMITTIkd:�,- '(cdpy'oi contract�bquir6d) <br /> . ''. .,, .-*, .7'.contract,required)- <br /> 'Servide radesA/C' , , <br /> Reroofs if shingles .'.Sewers U0g­ Fences(Plot/Survey/Footage) <br /> I I5'60ic roadways..needs ROW <br /> Driveways-Not ov&'C-66i�f6hf on' <br />