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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> L.LL 3321=331=3= Phone Contact for Permitting r( <br /> ............... ........... ............... . ................7 <br /> Owner's Name �t xi <br /> NW Lone umber <br /> Owner's.Addressl z: "K, (—',r eS, .ef A-ue-- Owner Phone Number <br /> Owner Phone Number <br /> 3:3-i5y 2L <br /> JOB ADDRESS cLp--sc-e,-f- LOT# <br /> SUBDIVISION PARCEL ID#1. 0.) %-d/ 06o10603C)000 /L <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADD/ALT SIGN' DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE Q SFR 0 �COMM OTHER I <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL = <br /> DESCRIPTION OF WORK 3 q—' <br /> UkIbe-) 0-6 <br /> BUILDING SIZE SO FOOTAGE S S HEIGHT <br /> BUILDING 6, 'K3 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL AMP SERVICE DUKE ENERGY W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ► Z,1 '706 <br /> =GAS ESP ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA r---1YES NO <br /> ............ <br /> BUILDER <br /> Ar.(Za cHqff go <br /> REGISTERED N FEE CURRtt, JWN <br /> COMPANY <br /> . ,SIGNATURE--,(— <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED L_Y_LN-_j FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN N <br /> Address License#1 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LILNLJ <br /> Address License# <br /> HHHH"H <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Build ing,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(-110)rworking days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Fa'cilities&1 dumpster.Site'Work Permit for all new projects.All commercial requirements mu.st meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ****PROPERTY SURVEY required for all NEW construction. <br /> 1 1.4 1 v I <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement tis_rpqqirgd.._(A/C upgrades over$7500) <br /> Agent(for the contractor)or Power of Attorney(f6r.th6'6wner)would:,be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING <br /> Reroofs if shingles Sewers Se`rvi6e"Upg­r'a*d`es -A/6 '<,:Ferice!s(Plot/Survey/Footage) <br /> Driveways-Not over Col dfitbrif diipublic roadways..needsi ROW <br />