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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 Permitt 6 L63 <br /> g 20 7 ) 41;V? <br /> rrrrrrrTT........ ..............Owner's Name Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Owner Phone Number <br /> JOB ADDRESS 0 M �Z C--i st Y4 R 06 6— P)X_0 LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTYTAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN 0 Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK 0 FRAME STEEL <br /> DESCRIPTION OF WORK J LA14-6e_,5� <br /> BUILDING SIZE 17-,6 x (0"(0 t SCI FOOTAGE HEIGHT <br /> villsitiiiii-I 1.1111111 <br /> [EnUILDING 1$ VALUATION OF TOTAL CONSTRUCTION <br /> nELECTRICAL $ AMP SERVICE = DUKE ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> 1 1 i I i i 1 i N i i 1 1 1 1 i i 1 1 l 1 1 1 1 1 l 1 1 1 1 1 1 1 R 1 i i i 2 1 1 1 1 2 1 1 1 i i l 1 i i i 2 l 1 1 1 i 1 1 l v 1 1 1 1 i i 1 i 1 <br /> ----------- <br /> BUILDER COMPANY 0 WA/672- CIr <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address I License# F_ <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# F— <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# I— <br /> HHHHH 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 I I I I I I I I I I I I I I I I I I I I 1 I I I H 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 after submittal date. Required onsite,Construction Plans,Stormwater Plans wl 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 wl Silt Fence installed, <br /> Sanitary Facilities&I 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 /> illigaiii! .1-1 -1 A44444 1 144444444444:14 <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. (A/C 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'.—­­­(C-opy of contract required) <br /> Reroofs if shingles' Sewa[s-"' S6ivIC6"Upgrad6S:A/C!- Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if oh:bublit'rioad ways.-.ne,edS ROW <br />