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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> ....... Phone Contact for Permitting [9/3 <br /> Owner's Name Owner Phone Number <br /> Owner's Address R11)530rn Owner Phone Number <br /> 2�(_kllk R_ 3 S r Owner Phone Number <br /> F <br /> JOB ADDRESS 5of R)055023 LOT# <br /> SUBDIVISION PARCELID#1 /5-.c2&-,a1-DQQ-0c20co- ooAn <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR K7V ADD/ALT SIGN DEMOLISH <br /> a INSTALL r] REPAIR <br /> PROPOSED USE SFR F__1 COMM 0 OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK Q FRAME 0 STEEL <br /> DESCRIPTION OF WORK 'Fear 64 r,,?_pfw_eAe_pi- o-� __J� (e rco� <br /> BUILDING SIZE SQ FOOTAGE[= HEIGHT <br /> 111111111�4 <br /> =BUILDING 0, 6c, VALUATION OF TOTAL CONSTRUCTION <br /> = AMP SERVICE DUKE W.R.E.C.ELECTRICAL 1$ <br /> =PLUMBING $ <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> I i 2 v M 2 i i i i i i v i i i i i I i i i i i i M i i 1 1 1 1 2 1 <br /> BUILDER COMPANY !�n� CDn <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address I License# FZZ/33[337-6 1 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED FEE CURREN LILN_j <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE F7 REGISTERED Y/ N FEE CURREN L�_ N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# F__ <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LYLN_j <br /> Address License# <br /> HHHHHr+ ,I'll 111-11411111111111 HHHH!HHHHHHH HH!HHHHHHi HH Hill H-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,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&I dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans.phus 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 /> stalled, <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 /> Q44444:lZP 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 M"11,1.,1,11111, 1 111 <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 (ciopy of-contractrfkquired) <br /> ' i Reroofs if shingles Sewers ',Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on,publlc.roadways.A0eds'ROW <br />