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813-780-0020 City of Zephyrhills Permit Application FaX-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact. for Permitting F <br /> .......... .......EXX13333XIX .................rrrrrrrrr,.............. <br /> Owner't Name Owner Phone Number <br /> Own ils,Aodress Owner Phone Number <br /> Owner Phone Number <br /> jos ADDRESS C)7L :57 <br /> -LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR ADDIALT SIGN DEMOLISH <br /> INSTALL H REPAIR <br /> PROPOSED USE 0 SFR Q COMM OTHER <br /> TYPE OPCONSTRUCTION Q BLOCK 0 FRAME STEEL <br /> DESCRIPTION OF WORK 1-1 A e_ Pei&Je Ike-RQC06-7 <br /> BUILDING SIZE SO FOOTAGE= HEIGHT <br /> "4444444 <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE DUKE ENERGY Q W.R.'E.C <br /> =PLUMBING 1$ 9 k <br /> ,600 <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION IT <br /> =GAS Q ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> 2 1 a 1 6 1 1 1 a 6"1 1 1 1 0 0 1 1 1 1 1 1 1 1+1 1 1 1 0 N 1 8 mi. I i I I i i i i i I i i i I i a i a V4 i i i i i <br /> BUILDER COMPANY <br /> SIGNATURE , REGISTERED CURREN N <br /> Y/ N LIL__j <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L11N J <br /> Address License# <br /> PLUMBER COMPANY 0� /tWK P449(hilk6 <br /> SIGNATURE <br /> Xel REGISTERED Y_/ N FEE CURREN <br /> Z ZOf Address 22L2 F-#,17( 9. 2- License# w6ym <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED FEE CURREN <br /> Address License# F- <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> HHHH Hill, <br /> RESIDENTIAL Attach Plot-Plains;(2)sets of Building'Plans;(1)set of Energy Forms;,R-wO-W Permit for new construction, <br /> Minimum ten(10)working days after'sUbmittal date.,Required onsitb,Construction Plans,Stormwater Plansw/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'.Ail commercial requirements 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 appIlcaG99,_npt@dzed, <br /> If over$2500,a Notice-of Comihen"q"ie"prit,is required. (A/C upgrades over$7500) <br /> Agent(for the contractor)or Powet O(Afiomoyffcir the,owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING::-,,'r cb py-O*f--contract required) <br /> Reroofs if shingles, 5e"weiii,:i-i',t_-,-.Servliciii Up Fences(PlottSurveffootage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />