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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Recp.,;vod Phone Contact for Permitting <br /> rT=............ ...............171771�, ..... ....) <br /> Owner's Name 1 "Le PQ e Owner Phone Number <br /> Owner's Address 0 In wl/IA Owner Phone Number <br /> Owner Phone Number <br /> JOB ADDRESS E36 66 0 LOT# <br /> SUBDIVISION .4 PARCEL IDAI <br /> 1 (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR R ADD/ALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK 4 _P A (/t 'At roll ej 4 a -P/ Z2_eA <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> Nil <br /> "BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE DUKE ENERGY Q W.R.E.C. <br /> =PLUMBING L. <br /> �HANICAL 1$ VALUATION OF ME.CHANICAL INSTALLATION <br /> =GAS ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> i i i i i m i i 1 2 11 N I i i i i i i 1 111 i i i 1 1 1 1 1 i i 1 1 l!v a 11 1 1 l i i N 1 1 1 1 1 1 i 11 1 11111 1 1 1 l N i i 6 1 1 1 i i N 1 1 1 N i 1 2 1 1 i 1 1 1 i <br /> BUILDER COMPANY I <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LYLN_J <br /> Address —1 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# <br /> MECHANICAL CCOMPANY VC//1 <br /> SIGNATURE REGISTERED ( Y) N J FEE CURREN 'J LIYLN J <br /> 0 12( -7 <br /> Address -M A License# EA 60 5 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> Hr HHHHHHH!1 HHHHHHHHfHHHH <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&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 /> HiWH114H 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 I I I i 9 i i 1 i 1 i 1 i N 111 K <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-contractor),or,PpWpr of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERM !-;!,!-,(copy of�contracf required) <br /> Reroofs if shing(41s Sewe"lis-',", "iSer.vIce,,Vp6486�:.-A/C Fences(PlottSurvey/Footage) <br /> wa -No over'C onTipu o.r- d ROW <br /> Drive ys�' _,qTttr,if bili' 4`oadw y�.,,..nee s <br />