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611-760.0020 City of Zephyrhills Permit Application Fax-813-T80.0021 <br /> Building Department p <br /> Data.Rsalved (' �+� Phone Contact for Permitting1 (� ) 00 19 <br /> Owners Hams c0 22 -Li 1 l l-++ Owner Phone Number <br /> Owners Addrssa ��32 J p��d�� C/v1,, f - ..or Phone Number <br /> j^ L .5 3 b 4 Owner Phone Number <br /> JOB ADDRESS S3 6i� 2 ¢ f ki�( ` 3 LOT 0 <br /> SUBDIVISION PARCEL IDS <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CON$1R B ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE ® SFR Q COMM = OTHER <br /> TYPE OF CONSTRUC71ON = BLOCK FRAME = STEEL = <br /> M1 <br /> 1 n n W !/ <br /> DESCRIPTION OF WORK C�1--y. 1/ice .Z1 .4e� SRkt Sr 2G W."I.-} (Qt�„da� �� F�� ±R�h <br /> BUILDING SIZE <br /> 4ti. }. SQFOOTAGE HEIGHT N' <br /> =BUILDING E VALUATION OF TOTAL CONSTRUCTION 3 I I{S Q <br /> =ELECTRICAL AMP SERVICE = DUKE ENERGY = W.R.E.C. <br /> =PLUMBING <br /> =MECHANICAL 5 VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING Q SPECIALTY = OTHER 0-340wslik24 ~ <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA <br /> BUILDER iC COMPANY [tJ CI Cu�stlJC},eti �Qf <br /> SIGNATURE r 1, T REGISTER,IED_ Y/ N FEE CURREN I Y II N <br /> Address 6 +. /�4/� f� 3 I}U� License ill Q-C 057537 CCC 3 087d <br /> ELECTRICIAN COMPANY IBC/V_{�_SQ/(A foyId <br /> SIGNATURE REGISTERED Y//NN FEE CURREF I Y/N 4 <br /> Address ��$34 �1r��vl— i,3 Licenseq E 3� 3 W <br /> PLUMBER COMPANY <br /> SIGNATURE REGIS1EREn I Y/N FEE CURREN Y!N <br /> Address License N <br /> MECHANICAL COMPANY <br /> SIGNATURE �^! REGISTERED I YIN FEE CURREI, Y!N <br /> Address License ti [ <br /> OTHER COMPANY <br /> SIGNATURE f REGISTERED Y/ N FEE CURREr. Y/N <br /> Address I License 0 <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/Sill Fence installed, <br /> Sanitary Facilities 8 1 dumpster.Site Work Permit for subdivisions/iarge projects <br /> COMMERCIAL. Attach(2)Complete sets of Building Plans plus a Life Safety Pago;(1)set of Energy Forms.R-O-W Permit for new construodon. <br /> Minimum ten(10)working days after submittal dote. Required onsite,Construction Plans,Slormwater Plans w/Sill Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all now projects.All commarcinl requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW con51ructlon. <br /> Directions: <br /> Fill out application completely. <br /> Owner a 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 contrail required) <br /> Reroofs It Shingles Sewers Service Upgrades AIC Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public madways..needs ROW <br />