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813-7K-,-1,12Q--" City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received J —CD . <br /> rT= ........ -Phone Contact for Permitting V <br /> ... ....... I..L.LLLJ.&............ <br /> Owner's Name ,ef vv,.o,r IBC T S t'^_ C, Owner Phone Number 0 <br /> Owner's Address 133 a 0 ?y6li'y C.,ire&rA46 c(4 r a _] Owner Phone Number <br /> Owner Phone Number <br /> -3 3 6, <br /> JOB ADDRESS vi�. zaeks,,-�Mg, F t '3 Z'5 LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR SIGN Q DEMOLISH <br /> INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q CO M OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK ^error ,fit^s11okk0r% o4 jrpit-erj r}#r e- <br /> BUILDING SIZE F_ SQ FOOTAGE= HEIGHT <br /> W]BUILDING 1$ 0, -a G U 1 VALUATION OF TOTAL CONSTRUCTION <br /> r— <br /> =ELECTRICAL 1$ AMP SERVICE 0 DUKE ENERGY Q W.R.E.C. <br /> =PLUMBING 1$ <br /> , <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATIOPL-1). <br /> AP <br /> =GAS Q ROOFING 0 SPECIALTY OTHER &OW <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES N <br /> BUILDER COMPANY Ira"J C, <br /> C"4 SIGNATURE FEE CURREN Y/N <br /> Address* P, REGISTERED Y/ N <br /> Seri o%0, F( License# C(T-r- 0 <br /> COMPANY F <br /> S16 ATURE 1 REGISTERED Y/ N FEE CURREN Ly <br /> L N j <br /> Address License# <br /> P R COMPANY <br /> SIGNATURE REGISTERED I Y/ N - 1 FEE CURREN L Y/N <br /> ti <br /> Add <br /> License# <br /> Address <br /> MECHANICAL �� COMPANY FEE CURREN L�N <br /> SIGNATURE REGISTERED Y/ N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <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&I dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)cqMplete-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&I'di.impster.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 /> I I i I i I I I I i i i <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 Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING. _ —(copy d'f-contract;requ!red) <br /> Reroofs if shingles Sewers :•:,Servib6`pgra es (Plot/Survey/Footage) <br /> Driveways-Not over Countee.jf','!on;puPf1c.rdadwa-ys.:ne!, <br />