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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department 3 <br /> Date Received <br /> rT= 1.L.L.L.L1_Lj_LL I -Phone Contact for Permitting rTT.......... <br /> _L1 I I rT71"rrrrT71!rT77r C=03=03=31133=933= ........ <br /> 664 P I^— _a <br /> " <br /> Owner's Name C I Owner Phone Number f-1_5 2- jg <br /> Owner's Address.[ o Owner Phone Number <br /> Owner Phone Number F <br /> JOB ADDRESS LOT# <br /> SUBDI%nSION PARCEL ID# J/,C? -,;a (Do 3�00 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED a NEW CONSTR ADD/ALT SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR 0 COMM 0 OTHER <br /> TYPE OF CONSTRUCTION BLOCK E—] FRAME STEEL <br /> DESCRIPTION OF WORK 1114 qt.4 L-ezc_z� ge W-U44ar-4251 <br /> BUILDING SIZE F_ SQ FOOTAGE <br /> ............. 1 14 <br /> ----- <br /> T7�Z2BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL AMP SERVICE Q DUKE ENERGY W.R.E.C. <br /> =PLUMBING 1$ _71 VA�`[ <br /> =MECHANICAL, 1$ 7 VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING Q SPECIALTY = OTHER $ <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> 7 a AA-1 <br /> BUILDER Lt COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address' led/?Iel, 457,> eXII& Ale ' 0!9-.t �r��03 License# JC6C /-,5/02- 33-57 <br /> ELECTRICIAN COMPANY I <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# F_ <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LLLN_j <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED L_y LNJ FEE CURREN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED FEE CURREN <br /> Address License# I <br /> H_f+ I I I I I I I I I I I I I I I I I m I I ffi I I I I I I m I i I HHHHHH!11111 HH H!!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 w/Silt Fence installed, <br /> siriifwry Facilities&I 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 wl 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 /> 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,of contract required) <br /> RerootsifshirIgles. -._,Sewers-,... _.—Service.Upgrades A/C Fences(Plot/Survey/Footage) <br /> DriveWays-Not over.9p4qtgF if o9,pub .,lic roadways ROW <br /> _, , , <br />