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s13-7eHo20 City of Zophyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Data Received .phone Contact for Penni Sl3 �a - <br /> Owner's Name Owner Phone Number %Y <br /> O��Address LQ !-c`ve - Owner.Phone Number <br /> Owner Phone Number � <br /> i <br /> t <br /> JOB ADDRESS I t-1, P`:}�G Lam'�� a LO.T# <br /> SUBDIVISION L PARCEL IDS <br /> (08TMW FROM PROPBRIYTAX ti =14 <br /> WORK PROPOSED r4rW aWM ADDIALT SIGN Q 0 DEMOLISH <br /> INSTALL hA REPAIR <br /> PROPOSED USE Q SFR COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK FRAME STEEL <br /> n � <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SG FOOTAGEWr t HEIGHT <br /> ...t .. <br /> 'QSUILOING $ /_ s7 v VALUATION OF TOTAL.CONSTRUCTION <br /> ELECTRICAL $ AMP.SERVICE Q DUKE ENERGY Q W:R.E.C. <br /> QPLUMBtNG $ �{ <br /> QMECHANICAL $ VALUATION OF MECHANICAL.INSTALLATION : <br /> MGAS [D ROOFING J] SPECIALTY [ � OTHER 3 <br /> FINISHEWFLOOR ELEVATIONS C � FLOOO,ZQNE.AREA [3YES NO . <br /> SUILOER;;<; - ' COMPANY <br /> SIGNATURE RMSTERED I YIN FEE CURREh <br /> Address UceWse# <br /> i <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGlwram YIN FEE CUMS <br /> Address License#1 1 1 <br /> PLUMBER { COMPANY <br /> SIGNATURE REQIB'MM I Y 1 N FEECUftFtB YIN_ <br /> Address license#. <br /> MECHANICAL COMPANY <br /> SIGNATURE REGI8Tgm LXLN J FEE Cwum IiYIN <br /> Address t License# <br /> OTHER COMPANY �T( (,! 'Fr � r ' <br /> SIGNATURE RE ISTEREO Wyll N FEE CURREA 1 Y I N <br /> g <br /> .Address 0 3 ` ; GL License <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Pleas;(1)set Of.Energy Forms;R4,W Permit for new con <br /> Minix u rn ten(10)wofi ft days after submittal date. Required o Wt%Conotrucitorr Pions.Storm mw"swl Sllt Fence installed. <br /> Sanitary Facl Ues&1 dumpsier;Site Work Permit for subdhrislonsilarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Ufa Safety Page;(1)set of Energy Forms::RA-W Penni far new construction. <br /> Minimum ten 00)working days after submittal dats. Required onsite..Construction,Plans,Stormwai P! wt Slit Fence Installed, <br /> Sanitary Faciililes.&1 dumpster.Site.Work Permit for all now projects.AU.commercial requirements must meet compilance. <br /> SIGN PERMIT Attach(2)sets.of Engineered Puns. <br /> PROPERTY SUki`VEY required for all NEW construction. <br /> ----------------------- <br /> Directions: <br /> Fill out-appllodon completely. <br /> Owner&Contractor sign back of application,notarized <br /> it over Q$2eco,a Notice of Commencement Is rmwlred. (AIC upgrades over$7600) <br /> " Agent(for the oontractor)or Powerof Attorney(for the owner)would.be someone withnotarized letter from owns authaqzing some <br /> OVER THE COUNTER PERMITTING (Copy of contract require(l) <br /> Reroofe If-shingles Sewers Service.Upgrades°AIC Fences(Piot/Survey/Fcotsge) <br /> Driveways-Not over Counter If on public roadways-needs ROW <br />