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e.13-780-,0020"- -City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received - <br /> TT117rrrrTlnrrrr=rrrrrry ,Phone <br /> Phone,Contact. for Permitting 613 , (061 <br /> Owner's Name + V-O,\ iI,1%qLm <br /> 2r% Owner Phone Number tau.?— 41130 <br /> Owner's Address Ft -4 kA sur) + F 14 Owner Phone Number <br /> zOwner Phone Number- w-0 F <br /> JOB ADDRESS LP 5 tvagon 4raA LOT# <br /> ;ZJ SUBDIVISION PARCELID91 0 - Q(' 60P C)O(OW'03it <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH <br /> INSTALL R REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK 52fer-f\ Y-EXM fo <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> BUILDING 10 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ 71 AMP SERVICE DUKE ENERGY 0 W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 0/ <br /> =GAS ROOFING F-1 SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YESt�Z��% <br /> ...oil Hiis <br /> BUILDER COMPANY <br /> -o n L <br /> SIGNATURE REGISTERED (-Y) N FEE CURREN <br /> Address J DP- N6\(VW\-\ lb-itf 13-'4) License# F:Scc - as <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN _y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Ly N L_J <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N_J ' FEE CURREN /N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LYLN_J <br /> Address License# F HHHH1 HHH!H! <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 subdivislons/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&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 /> virfisgii................Directions: <br /> Fill out appliqption.completely, <br /> Owner&Contractor sign back of <br /> If over$2500,a Notice,of la,`r'e__quIr'ed. (A/C upgrades over$7500)., <br /> ­48rii�y, Wowner)would be someone with n '�W64,4uthorizing same <br /> Agent(fot,.the contractor)o rih, <br /> OVER THE C6&kiEli:pERMItTI'Nd-'!';,'-;o.',(cop'y of.contract required) <br /> ReroofSifshi46S­ i§e Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />