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813-780-0020 City of Zephyrhills Permit Application i <br /> Building Department ................. <br /> Date Received F <br /> Phone Contact for Permittin ( 76-5- 1>1 <br /> ...... ...........—04........ 3333;11C� <br /> Owner's Name Owner P one Number <br /> Owner's Address <br /> Owner Phone Number <br /> Owner Phone Number <br /> JOB ADDRESS I -3S7(10 ✓ LOT# <br /> SUBDIVISION PARCEL ID# 0 0-60 -505-L005— ()�3 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR e <br /> ADD/ALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME 0 STEEL <br /> DESCRIPTION OF WORK (-00-� <br /> BUILDING SIZE SO FOOTAGE= HEIGHT <br /> =BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL ' oo 0 AMP SERVIC DUKE ENERGY W.R.E.C. <br /> I <br /> TPLUMBING 1$ � (-� / /��, <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> GAS � ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> CURREN <br /> COMPANY <br /> N�FEE CUiRL � <br /> BUILDER COMPANY N \M— I <br /> SIGNATURE . REGISTERED Y/ N I LYLN J <br /> Address -1 License# F- <br /> ELECTRICIAN :OMPANY t ':30 -_A V- <br /> SIGNATURE —� REGISTERED Y/ N FEE CURREN LYLN J <br /> -7(, <br /> Address License# FG o 0 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE.CURREI, LKLN J <br /> Address License# <br /> MECHANICAL COMPANY L— <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LILN_J <br /> Address I License# I <br /> HHHH! I I m 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 I I I I I I I I I I I I I if I I I I I i I I I I I if" If I I I I I I I I I I m I I I I if I I!I I I I I I I I I+ <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 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(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 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 /> 111—1, - - ---1 1 i I I i i;i i i I;i i i I i I I I i I i i I I I P4;T4P I I l-l-I 11 PZlXP444:PT <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Nqtice,qfCommencement--is required. (AIC upgrades over$7500) <br /> Agent(for the contractory.oi P6w6rw-oif!Aftdrney..(ioAh <br /> -P pwner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTINGI t(ddp��bfcont(a� required) <br /> Reroofs if shingles Sewers' p"g"Iedes"XiC Fences(Plot/Survey/Footage) <br /> 9t1 <br /> Driveways- V�r 66nter if on public roadways..needs ROW- <br />