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813-780-0020 City of Zephyrnills Permit Application Fax-813-780-0021 <br /> Building Departcitent <br /> bate Received Phone Contact for Perm( nal <br /> rrn7Trrrrrrrnnrrl!rrrrrrrrrrrrTrrrrTrrrnnTmn!lrry!r ............. <br /> Owners Name sr-(Ir JU 40 Owner Phone Number <br /> Owner's Address W,n CV4-- C, r Owner Phone Number F <br /> Owner Phone Number F_ <br /> JOBADDRESS Lr\ LOT'# <br /> SU I BDIVISION PARCEL ID#F(:�� ca3 a- wove) -oa <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADDIALT SIGN DEMOLISH <br /> INSTALL R REPAIR <br /> PROPOSED USE SFR Q COMM OTHER I <br /> TYPE OF CONSTRUCTION BLOCK 0 FRAME' STEEL = A <br /> DESCRIPTION OF WORK god o; t <br /> BUILDING SIZE SO FOOTAGE HEIGHT,C__� <br /> =BUILDING 9 wo VALUATION OF TOTA�L CONSTRUCTION <br /> 1 <br /> =ELECTRICAL 1$ AMP SERVICE Q DUKE ENERGY W.R.E.C. <br /> =PLUMBING 1$ <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING = SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> HHHHH.HHHHH .............. ....... 14+ <br /> BUILDER COMPANY VP_ %e— 1 Pe <br /> SIGNATURE REGISTERED M/ N FEE CURREN LaLN_j <br /> Address 3;3 0 1"r- Ait N, ar)Q License JcrT13 s 13 1-1 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I N_J FEE CURREN, I <br /> _)LL N_J <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED FEE CURREN <br /> Address License# <br /> MECHANICAL <br /> EC, COMPANY <br /> SIGNATURE REGISTERED FEE qURREN <br /> Address License# <br /> OTHER <br /> COMPANY <br /> REGISTERED 'Y/ N SIGNATURE FEE CURREN L_YL.N_J <br /> Address License* <br /> .:HIwkIHHIIIH. lliami <br /> RESIDENTIAL Attach(2jPlot'Planii;(9).sets:of Building0rm Itf6rn6w'construction, <br /> Plans;.(I)�set;of <br /> Energy Forms;R-0-W Pe <br /> Minimum ten(10),Workifig days aftersubmittal date.'Required ons46 Construction Plans,Stormwater Plans w/Slit Fence installed. <br /> Sanitary Facilities&1 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'dat'e. Requited onsite.1 Construction Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)setsof Engineered,Plans. <br /> ****PROPERTY SURVEY required for all NEW construction. I <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. (AIC upgrades over$75 0) <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone wl notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required),_., <br /> Reroofs If shingles Sewers"­­_­,SSe viceUpgrades,.,A/C ...,;,Fences(PlottSurvey/F6otage) <br /> Driveways-Not over Counter if on I:41id roalwajs� S.,R6W <br />