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I� <br /> 813-780-0020 City of Zephyrhills Permit Application Fax413-7e0-0021 <br /> u <br /> P Building Depa ant' <br /> Date Received .Phone:Contactfor Permitting; °: - <br /> `owner's:Nartie `" c/ / --Owner.Phone•Number. : <br /> Owner's Address71 <br /> Owner Phone Number; <br /> F <br /> �. Owner PhorMNumber. <br /> JOB'ADDRESS "'Z! ,� T""!✓591 7 -Ie LOT# <br /> :'SUBDIVISION* PARCEL ID# <br /> (OSTAINED•FROM PROPERTY TAX NOTICE),:.,. <br /> WORK PROPOSED NEW CbNSTR ADD/ALT SIGN :,DEMOLISH <br /> e INSTALL- 8 REPAIR <br /> ! PROPOSED USE [� SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q. FRAME �' STEEL 0. <br /> DESCRIPTION OF Vi1012K IfL`% me <br /> BUILDING SIZE.... .. �.SQFOOTAGE `lGrdl HEIGHT} � <br /> =BUILDING F-7 <br /> VAt:UATiON OF TOTAL�CONSTRUCTiON <br /> =ELECTRICAL $' t AMP'SERVICE f!J/, Q` DUKE ENERGY 0 W.R.E.C.• <br /> /l� D4 <br /> =PLUMBING' $ <br /> =MECHANICAL ($ VALUATION-OF MECHA.ICAUINSTALLATION. <br /> =GAS = ROOFING ) :SPECIALTY OTHER' <br /> FINISHED`FLOOR'Ed VATIONS' (�^� FLOOD ZONE ARE =YES NO <br /> BUILDER COMPANY l <br /> SIGNATURE REGISTERED Y'/ N FEE CURRREEh <br /> ( Y7 N <br /> -.Address :License#1 . <br /> ELECTRICIAN. COMPANY <br /> SIGNATURE 7/ REGISTERED ""'Y FEE`CURREN` YIN <br /> �j� V <br /> Address J [� /�!?r License'# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED. Y/•N 'FEE'CUkRR'EK- :U/`N' <br /> Address :License.#' 1. �� I <br /> MECHANICAL COMPANY <br /> SIGNATURE ` REGISTERED Y/%:N FEE+C,URREh <br /> Addr®ss License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/'N FEE CURREM1 <br /> Address. License'.# <br /> RESIDENTIAL Attach(2),Plot Plans;(2)�sets;6f.Bu{(ding,Plans;;(1.).se#rofiEinergy.Fo s'WlO Peit 0-new construction; <br /> Min{rnurriten(t0)•worki»g-days-after-subniittai date. Required onsite,Construction Plans,Stormwater Plans wl Slit Fence'installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdiv{sicns/lar�a projects <br /> COMMERCIAL Attack(2).complete.sets of-Building Plans-plus a-LifeSafety Page;(1),at of-Energy-Forms.R-0.0-Permit4or.new construction. <br /> Minimum'ten(10)Mirklho',d iys;after:submittai:date.tRequired onsite,Construction Plans,Storm"14:Plans w/SlitFence installed, <br /> Sanitary Facilities&1 dumpster.Site Work•Pemilt<for all new-- ects.CAI!commerclal.requlrements must,meet.compliance. <br /> SIGN PERMIT Attach(2)•sefs,,6f Engineered Plans. <br /> ****PROPERTY SUI VEY required for all NEW construction. <br /> Directions: <br /> Fill out application,.completely. <br /> Owner&Contractorsign back of application,notarized <br /> If over$2500,a Notice of Commencement Is required. (A/C upgrades.over.$T50 ) <br /> '* Agent(for 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 contract required) <br /> Remofs if shingles Sewers"'''°'"`"Service Upgrades='.A/C.., ...Fences(PIot/Survey/Fo tage) <br /> Driveways-Not over Counter if on publivroadways..needs ROW <br />