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613-7MO20 City of Zephyrhills Permit Application Farr-813.7110.0021 <br /> Building Department <br /> Date Received Phone Contact for Per-111 in <br /> Ownerti Name Z Owner Phone lumbar <br /> go taia <br /> Ownses Address 1 r owner Phone Number <br /> WeS 2 {�`— Owner Phone Number <br /> JOB ADDRESS LOT# <br /> SUBDIVISION PARCEL IDN <br /> .. (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK-PROPOSED NtwcoNsTRe ADD/AL•T = SIGN = = DEMOLISH <br /> INSTALL -REPAIR <br /> PROPOSED USE = SFR = COMM OTHER <br /> TYPEOF CONSTRUCTION 0 BLOCK = FRAME JI'[� STEEL = <br /> DESCRIPTION-OF WORK /t? I. / <br /> BUILDING Sig SO FOOTAGE=. HEIGHT. <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE = DUKE ENERGY 0 W.R.E.C. <br /> =PLUMBING $ n boo. <br /> =MECHANICAL $L VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING Q SPECIALTY �.J OTHER <br /> FINISHED FLOOR ELP_VAf I0hS FLOOD ZONE'AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REG] RED I Y/N FEECURREt•. X/•N , <br /> Address Veense# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTER® I Y/N FEr CURRBn I Y/N <br /> Address License# <br /> PLUMBER CQ@4P.ANY <br /> SIGNATURE REGISTERED F Y/N FEE CURREh .. Y/'N <br /> Address License# <br /> MECHANICAL. 'COMPANY <br /> SIGNATURE REGISTERED I Y/N' FEE CURREP LYIN <br /> Address License# <br /> `I <br /> OTHER n„_� COMPANY e4 <br /> SIGNATURE G� REGISTERED I Y7 N• FEEctw.B 7= <br /> Address 22,1,55 r GAP a License# <br /> RESIDENTIAL Attach`(2)PlotP.feria;(2)se)sofBund&t,Pians;,(1)"tof.Energy.'Forms;'•R-O-W co <br /> nstruction, <br /> Minimum ten(10)working days after dubmittal date. Required onsite.COnstruotion Pi*,Stomrwater Plans w/SUt Fence bnptaUed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivlsiona/iarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans.plus.a Life Safety Pape;(1)set bf Energy Fonns.R-O-W Permit for new construction. <br /> Minimum ten(10)working d*411ersubMittat-date.•Retfuired•onsite,Construction Plans,.Stosnwater Plans w/Silt Fence Installed, <br /> Sanitary Facilities&1•dumpsW.Site-Work Permit for-all new pro)ects.Ali commerdal.requiremerIts must meet compliance <br /> SIGN PERMIT Attach(2)•sets of Engineered Plans: <br /> PROPERTY SURVEY regWred for all NEW construction. <br /> Directions: -_ <br /> PHI out applicatign completely. <br /> Owner&Contractor signbadc of apQtigation;-rl i aed I:,Ur •: , <br /> If over$M0,a Notice of Ccri►i`rri ficament Ii A fired:<•(AfC upgrades,d�,,r$7500) <br /> Agent(for the contractor)or Power of Atiomey(tor,{he,owherj xioutd ba Gtlmeone with notarized-letter(rom.owner authodzlrig salnA <br /> OVER THE COUNTER PERMIrnNoij; (coPY:AfcorihaLf'iequired) -"* <br /> Reroofs if shingles Sewera t Alien Upgrades'd1C Fences(Plot/Survey/Fo go) <br /> r <br /> Drivoweys-Not Over Counter If on public roadways..needs ROW y eI't r-'`' - ••.1 ^' <br />