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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> ........... .............. I........I.LL&U --- 1 <br /> Ownees Name Id1,60-1A t«c Owner Phone Number L31,3)36 <br /> Ownees Address PP Owner Phone Number <br /> 0 11&9-0 F L 3T10y Owner Phone Number <br /> JOWADDRESS LOT a E: <br /> SUBDIVISION PARCEL to# 00 0—07600- Mef <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEWCONSTRO ADDIALT SIGN DEMOLISH <br /> E3 INSTALL REPAIR <br /> PROPOSED USE 0 SFR = COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME' STEEL <br /> , <br /> DESCRIPTION OF WORK I'D e-Pyt o sq <br /> BUILDING SIZE SQ FOOTAGE HEIGHTi <br /> =BUILDING J$e2 OWO VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE DUKE ENERGY Q W.R.E.C.. <br /> =PLUMBING $ <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS 0 ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> HHHHH,HHI .. ................. <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y1, N FEE CURREN YIN k <br /> Address License# <br /> ELECTRICIAN, COMPANY <br /> SIGNATURE REGISTERED Y/ N FEECURREN <br /> Address 77771, License#' <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ NT FEE CURREN <br /> Address License# F <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N - 1 FEE CURREN <br /> Address License J <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FF-EcuRREN <br /> Address Licens6# F— <br /> Niel <br /> HHHH <br /> RESIDENTIAL Attach(2)Plot Plans;m,setsof Building Plans;�(1)set.ofEngrgy Forms;RwO-W Permit,fornew'construction, <br /> Minimum.ten s after submittal date. <br /> Required onsite.Const ruction Plans,Stormwater Plans wl 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 w/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 /> IMW44"V WWWWWRil a a N!i Elm samilasssmal N 1 a NINNA NER 11 amorl 1 121611mill a a too a*5 <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 owner)would be someone with notarized letter:from owner>authorlzlng,same <br /> OVER THE COUNTER PERMITTING :,,,::,i-(cppy,of,,contract y�,feq I"e d)rvi <br /> Sewers t/ <br /> Reroofs if shingles F nces(Plo Survey/Footage) <br /> es'-A/C 6 <br /> Driveways-Not over Counter if.ompm.Oi ROW <br />