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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> TT'1-rrTT7"rT3'r1�_ MTTT� -Phone Contact for Permitting <br /> ................. <br /> Owner's Name FA ?,\ C (2) 1 Owner Phone Number qC) C)C)'!7 <br /> Owner's Addressc)9) z-)-k- I Owner Phone Number <br /> Owner Phone Number <br /> JOB ADDRESS LOT# <br /> SUBDIVISION PARCELID#F_ <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONISTRR ADD/ALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK LQ� 4 7v 6 (2- <br /> BUILDING SIZE SQ FOOTAGE / J HEIGHT <br /> ........... <br /> ItIBUILDING -9 __(T_1 VALUATION OF TOTAL CONSTRUCTION <br /> $ <br /> =ELECTRICAL 1$ AMP SERVICE DUKE ENERGY 0 W.R.E.C. <br /> =PLUMBING 1$ _1 <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY rJ <br /> SIGNATURE REGISTERED N I FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address 7 License# F_ <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED FEE CURREN L_X1 N J <br /> Address License# F— <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N_ FEE CURREN <br /> Address License# F <br /> H+F 4 1 111111111111111 111111 11111111 1111111111111 M I I I I I I I I I I I I I I I I I I I I I 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 /> 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 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 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 /> 1­­d-1f1'-'_�""1;: -1�­'P­_','. "l—'...�� _­_ <br /> Owner&Contractor sign ba '6 app Jcqtion,,nptanz60' <br /> If over$2500,a Notic4 of CommenqQ#ient isrequ (A16:upjrades over$7500) <br /> Agent(for the contractor)or Powerf be someone with notarized lettet a t from-dWrier:authort;rig s o Attorney(for,�_. <br /> 4­ i, <br /> OVER THE COUNTER reqUieed) <br /> ry <br /> _0blJrade-'iiWC` Fences(Plot/Survey/Foo ' 1P <br /> Reroofs if shingles Sewers ""'94 ta9 <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />