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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Rer.9!.­.d - ()31Zq11q <br /> I -Phone Contact for Permitting <br /> ........... E= .... ...... Loo 3 <br /> Owner's Namel vmw Ainive " AA6ni Owner Phone N—h— <br /> Owner's Address 475?_TJMbpXWW k9hgf-Vf1�k R_,.B64_ Owner Phone Number <br /> Owner Phone Number <br /> JOB ADDRESS 1q7,52,-rirnb?L=,7-poorhI115 W71 LOT# <br /> SUBDIVISION F PARCEL ID# Z40 ZI 07_W-6C)= <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR e <br /> ADD/ALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK 421 <br /> BUILDING SIZE SO FOOTAGE cam.:= HEIGHT <br /> FT�&ILDING VALUATION OF TOTAL CONSTRUCTION <br /> T_ 0(-) 1 <br /> =ELECTRICAL AMP SERVICE = DUKE ENERGY W.R.E.C. <br /> =PLUMBING 1$ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 2,116 95 <br /> =GAS F� J ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> I I I I I I I f i i i i i i I M v i i I H LI I i i i 2 i M i i 6 i I i I I I I I I I I I I I I I I I I I <br /> BUILDER COMPANY = I <br /> SIGNATURE , REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# F <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License <br /> OTHER PANY <br /> SIGNATURE Maw 9 19 ISTERED FEE CEPEr, <br /> Address POL65-4 r" License# <br /> me COC <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 I dumpster,Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Aftach'(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 oinsite,Construbt16n'P'Ians,Stbrmwater PlanSw/Silt Fence installed, <br /> I Sanitary Faciliti6s&I'dumpstqr.Site Work Permit for all new projects.All co mmercia teq uirements must meet compliance <br /> SIGN PERMIT. Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <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 contradior)or Power of Attorney(for-the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING contract teq6lred)`: <br /> Reroofs if shingles Sewers Upgrades-Ald Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter-if on'publI6,6idW needg-ROW <br />