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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permitting .......... <br /> rrrrrrrrrrrrrryrrr 0331XECXC033XCa3XC033M= .............&&AAA&"- <br /> OwneetName i Owner Phone Number [Ir/ -3?3 <br /> A _3 it <br /> d 6d Owner's Address 66126O S;W,,a e k-,, cl, 1(., <br /> Owner Phone Number <br /> Owner Phone Number <br /> JOWADDRESS q-t4 e- LOT# <br /> .5L( S--2-6-21-0/00-00700-00'70 <br /> SUBDIVISION PARCEL ID# O <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED WW,CONSTR ADD/ALT SIGN DEMOLISH <br /> e INSTALL* R - REPAIR <br /> PROPOSED USE 0 SFR r COMM 'OTHER <br /> TYPEPF CONSTRUCTION = BLOCK FRAME Q STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE F FOOTAGE HEIGHT, <br /> I Ilia,It,L444-1 Iiiii"I III!!!i i i tffli III A 14212 <br /> =BUILDING $ ( VALUATION OF TOTAL CONSTRUCTION 057 <br /> =ELECTRICAL 1$ AMP SERVICE Q DUKE ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOODZONE AREA =YES NO <br /> .. ........... <br /> BUILDER COMPANY 14&Pie Fyolfec <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN I YIN 7 <br /> Address s(— Af License# I 1176S_ <br /> ELECTRICIAN COMPANY <br /> G I <br /> SI NATURE REGISTERED Y/ N FEE CURREN <br /> Address License# F_ <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y1, N FEE CURREN LILN J <br /> Address License# <br /> MECHANICAL <br /> EC COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN LMN J <br /> Address License# F_ <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LILN <br /> Address 'License'#] <br /> I i I I I 1 6!-1,!1,!!111!fit 1-1 14 if 1 1 HHHHH'HHH� <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets-Of'Build' n Plans;�(1)set-of.Epqr f n,1.g gy Forms,R-;O-W Permit'-or,newconstructio <br /> Minimum tan(I 0),worki6g. r days after submittal date.'Required onsilia,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary 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 now construction. <br /> Minimum,ten(IO)working'doy.iafter.submittildate. Requked onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&I 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 SUfiVEY required for all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> N 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 /> Retoofs if shingles Sewers. ServIce,U0gradq Alp_, Fences(Plot/Survey/Footage) - <br /> . ':ROW;- <br /> r' i6ioadwiyi.:rieedsj' <br /> Driveways-Not over Counter if on:130111, <br />