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913•780.O020 City of Zephyrhills Permit Application Fax-e13a80-0421 <br /> Building Departinerd <br /> Dab Received p Phone Contact for Pormft rt <br /> Owner's Name �l��t^�1 �! Z L�Lr� / Owner.Phone Humber <br /> Owner.Address 7O f �� �/! 6'Na5 1 y 2Z,0 711 Owner Phone Number <br /> Owner Phone Number I <br /> JOB ADDRESS b�tZ —v(d [J� <9�r f{ IUS ,� �7 Z LO.T# <br /> SUSDMSION e2i r((Atn f��- 33S=1�I PARCELID# 02-' ro-21-o.v 14 pporxi -vale <br /> {O''rAW-0 FROM PROPERTYTAX NOTtCE) <br /> WORK PROPOSED a NEW CDNSTN 8 ADDIALT 0 SIGN 0 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME [_] STEEL [� <br /> � r/} <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE Y� $0FOOTAGE TT<o HEIGHT <br /> BUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> QZ]ELECTRICAL S 19 e� AMP SERVICE Q DUKE ENERGY Q W.R.E.C. <br /> ®PLUMBING IS <br /> !)y7�`�� <br /> (MECHANICAL $ ! VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING Q SPECIALTY= OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER 1i�- COMPANY 1Aq k11Jj0C<ej <br /> SIGNATURE f PZEASTERED --I TIN' FEE CMU t+ LYLN j — <br /> L3nl�i (f4 - �i36� License#Address �C�,CTG lSz: 1�59 <br /> ELECTRICIAN <br /> ff" �fL COMPANY <br /> SIGNATURE REGISTERED I Y FEE CU(MIE Y/N <br /> Address Ucense# <br /> PLUMBER COMPANY <br /> SIGNATURE ( REGGTERED Yt N FEECUT��'E'n`'�tN <br /> Address License#I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I YIN FEECURREP LILN <br /> Address License#1 <br /> OTHER COMPANY <br /> SIGNATURE ItEGW8RED I Y•1 N FEE CU(RRREEr` Y/N <br /> Address License# <br /> Fennit for new coTr;Uuctian, <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Pons;(1)sat of EnergyForms;'R-O W <br /> Minimum ten(10)working days after submittal data. Required onsite,Construction Plans,Stormwe ter Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for subdivlsions/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 submitted date. Required onsite,Construction Plans,Stormwater Plans wl Silt Fence installed. <br /> Sanitary Facilities&1 dumpster.Sits 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 /> Fin out application completely. <br /> Owner&Contractor sign bark of application,notarized <br /> If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500) <br /> Agent(far the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contneet.requirod) <br /> Reroofs if shingles Sewers Service Upgrades AtC Fences(Plot(SurveytFoutage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />