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813-780-0020 City of Zephyr-hills Permit Application Fax-413-780-0021 <br /> ' Building Department- <br /> Date Received .Phone-Contactfor Permitting: <br /> j 7 —/7D <br /> 'Owner's.Name ' 1—r er, f tlr Lbw -so c . '•Owner-Phone Number. .91. la <br /> .owner's Address �3`l o wf=. ,. Owner,Phone:Number; s�J''7/J'-72Z2� <br /> Owner Phone,Number. <br /> r <br /> sas ADDRess 3-5 .02 (•v�< �,/ 'rL 33�" LOT# <br /> SU$DIVISION' )ev PARCEL ID#. <br /> (OBTAINE[1 FROM'PROPERTY TAX NOTICE)._.. <br /> WORK PROPOSED NEW CONSTR ADD/ALT ��. SIGN [�. [ DEMOLISH <br /> ® INSTALL• 8 REPAIR <br /> PROPOSED USE' 0` •SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK ® FRAM STEEL 0. <br /> DESCRIPTION.OF WORK !"+air W r r e G <br /> I , <br /> BUILDING SIZE .._./f� x 1-7 SOFOOTAGE "� 2D HEIGNT.` lU 3 • <br /> =BUILDING' . $ VALUATION"OFTOTALCONSTRUCTiON �,.� <br /> l .00 • <br /> =ELECTRICAL rr$ AMP'SERVICE N 4 Q DUKE ENERGY " [� W.R.E:C. <br /> =PL'UMBING $ <br /> .. MECHANICAL $ VALUATION-OF MECHANICAL]NSTALLATION <br /> =GAS Q ROOFING `SPECIALTY u OTHER <br /> FINISHED FLOOR ELEVATIONS" FLOOD-ZONE AREA =YES NO <br /> $C @ kC rr f7 rcJaos V <br /> BUILDER ® COMPANY T S a ��t c to �, s r <br /> SIGNATURE REGISTERED• Y 1 N J FEE CURREh Y/ <br /> is � 3 e 0 <br /> Address to/ 7 �c Y' 3 s' ,Z License'#" Oa4i3Z 009,3449 <br /> ELECTRICIAN. COMPANY <br /> SIGNATURE f A REGISTERED "Y/'N';' FEE GU(R`REN�Y 7 N <br /> Address License# l <br /> PLUMBER COMPANY <br /> SIGNATURE.".. N REGISTERED Y/i•N,J `FEE' U(RREEK <br /> Address License:#' <br /> t <br /> MECHANICAL COMPANY <br /> A � .NSIGNATURE _ FEE.CURREn Y/"N^: <br /> Address License#;F <br /> OTHER' COMPANY oYcr P ti%y S SOGi �7 <br /> SIGNATURE f ,P REGISTERED I 'YIN "I FEE CURREN LY/N <br /> Address <br /> RESIDENTIAL Attacti(2)..Plot Plaris;,;(2)Esets„of B.ullifih- Plans;(1),,set{ofih0gy.Forrns;•ft=O=W F�ermit�for new'construction; <br /> Minimum"ten(10)`worki'ng"days of e'r-subarilttal date: Required onsite,Construction Plans,Stormwater Plans w/Slit Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsfiarge projects <br /> _ COMMERCIAL__ Attach(2)complete.sets of Building Plans•ptus a Life�Safety Page;(1)serof Energy:Fonns.R=CkW'Pertnit'ioc:new constructon: <br /> Minimum1en(10),'w-oikiitg,tlays,of(er.submittal:date.'-Required onsite,Construction Plans,Storni"ierinans w/Siit Fence installed, <br /> Sanitary-Facilities&1 dumpster.Site Work-Pernitt forall new-projects.All commercial.requirements'must-meet.compliance <br /> SiGN PERMIT Attach(2),sets,6f Eholneered Plans. <br /> •""'PROPERTY'SURVEY required-for all NEW construction.. <br /> Directions: <br /> Fill out appiication.completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500.a Notice of Commencement is required. (A/C upgrades.over•.$7500) <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 ofcontract required) <br /> Reroofs If shingles Sewers Service Upgrades'`:A/C 'Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roaOwe ..needs;ROW } <br /> ,.Ou:: . <br />