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813-780-0020 City of Zephyrhills Permit Application Fax-813-'Po <br /> 7 <br /> Building Department v <br /> A <br /> Date Received <br /> Phone Contact for Permitting <br /> TTTlIrrrrrrTTTrTrrT 6" ........... rrrrrrrrrrTT-Trrrr <br /> Owner's Name Owner Phone Number <br /> Owner's Addressl 133 el? "CAA-5 4 Owner Phone Number <br /> Owner Phone Number <br /> JOB ADDRESS F 6/_33 5 14,;?-A, LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONISTR R ADD/ALT SIGN DEMOLISH <br /> INSTALL_ --_REPAIR-- <br /> PROPOSED USE SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME 0 STEEL <br /> DESCRIPTION OF WORK u, F ,i A-tlqc- Rf-� 0.4049 -f_ 2,-0 .92—( <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING r,2 7 Z4,501 VALUATION OF TOTAL CONSTRUCTIO t <br /> =ELECTRICAL 1$ AMP SERVICE DUKE ENERGY Q W.R.E.C. <br /> I \', L$6'Af�khy <br /> =PLUMBING $ 9 q 5 <br /> pa <br /> VALUATI=MECHANICAL­­�`� OF MEC"A I111QAL StIN �LI 0 S ECIALTY OTHER=GAP,, R�6"FING S ECIALTY <br /> FINISHED FLOOR.ELEVATIONS <br /> TIONS LOOD ZONE AREA AYES No <br /> .............. <br /> HHHHIHHHHHHHH HHHHHHi I-HHHHI�11!1 I <br /> BUILDER -COMPANY <br /> i SIGNATURE Z REGISTERED Y/ N I FEE CURREN 1-\.Y/N <br /> Address Zp)) License# FM <br /> ELECTRICIAN f COMPANY <br /> SIGNATURE', �R�EGIS D FEE CURREN Y/N <br /> Address License# <br /> .'PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N_J FEE CURREN <br /> Y L N_j <br /> Address License# F_ <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address -License# <br /> HH"Hi i+Ft <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 Ei6ilding 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 /> ............ --- -- -- - ----- 4444 <br /> Directions: <br /> Fill out application comp!etely., <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of comrn riceroent is required. (A/C upgrades over$7500) <br /> Agent(for the contracto 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 /> Reroofs if shingles Sewers Service Upgrades.'A/C Fences.(Plot(Survey/Footage) <br /> 0. <br /> Driveways-Not over Counter if on public r9§dways..�Fieeds-ROW <br />