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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 /> ------- .................... <br /> ownees Name /-77-1 Owner Phone Number <br /> Owner'sAddressEZUV Owner Phone Number <br /> Owner Phone Number <br /> L <br /> JOB ADDRESS OJ22Q Ao 2�M Z2�9 YHIZLS 2-35VI:2 1 LOT III I <br /> 'SUBDIVISION PARCEL -10r <br /> 40 -6)110 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADDIALT SIGN DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE Q SFR F-1 COMM OTHER I <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME Q STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE 1. a4lX C9 �3— 1 So FOOTAGE HEIGHT <br /> W#2WH SWIM <br /> =BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE Q DUKE ENERGY 0 W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL 1$ 14 1 VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING CJ SPECIALTY OTHER* <br /> FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA =YES NO <br /> BUILDER fjoPCOMPANY -I- <br /> SIGNATURE <br /> ED 5 <br /> f REGISTERED YIN T FEE COROIEN I Y/N <br /> -2-Y—I—il <br /> Addressg3D VIA]LLD A wbz License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRB L_UNj <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREt, <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Ljl_N J FEE CURREN <br /> Address License# F— <br /> OTHER COM ANY <br /> SIGNATURE REGIS RED Y/ N FEE cuRREN Y/N <br /> Address License#0 <br /> ++4+ ..... <br /> ' �e'rnit for now construction, <br /> RESIDENTIAL Attach(2)Plot Plans:(2)sets of Building Plans;(1)set IF En FoForms;R�;W r <br /> Minimum ton(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 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 /> AU1 a I W N M 0 0 i i a 0 0 R A a R a M ff ff ff i ff E ff ff 0 5 1 N I N I ff v E N 11 N I a m E 2 N ff N N ff I!ff 1 1 l N ff 0 R W N v m v i i i i i i W 9 K ff 9 W a I i I a M i i i i i 5 v a I v i x N a i I v a v 0 <br /> -------------- ---- <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. (NC upgrades over$7500) <br /> Agent(for the contractor)or Power of Attorney(forthe owner)would be someone with notarized litter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot(Survey/Footage)' <br /> Driveways-Not over Counter if on public roadways-needs ROW <br /> r <br />