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813-7e0-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> "Date Received <br /> .Phone Contact for Permitting <br /> ,.•Owner's"Nsme YYllit YI i Vj"Q Owner Phone Number <br /> ;,.;Owner's Address 5 3 2 f S Owner Phone.Number <br /> Owner Phone Number <br /> JOB ADDRESS, !J 2 J ZCj r 1 3S` 2—[ LOT# <br /> ;St1BDMSION . PARCEL ID# <br /> (OSTAINED3:ROM.P.ROPERTY TAx,NQTIcE)' <br /> ;WORK PROPOSED NEW CONSTR ADD/ALT _ `� SIGN 0. Q DEMOLISH' <br /> e INSTALL 8. R:EPAIR <br /> PROPOSED USE, Q SFR Q COMM . 0, OTHER <br /> TtYPE OF CONSTRUCTION 0 BLOCK Q. FRAME.' STEEL 0 <br /> "':• -:DESCRIPTION OF_WORK p d 41, W 1 � �l w �%1 t � J 1 ) <br /> BUILDING,SIZE SCi•FOOTAGE.= HEIGHT F. <br /> ............ <br /> -=BUILDING $ <br /> VALUATION OFTOTAL CONSTRUCTION' <br /> QEL ECTRICAL. $ AMP'SERVICE Q DUKE ENERGY 0 <br /> =PLUMBING <br /> 0MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> $ <br /> =GAS ROOFING -SPEC r__1 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE'AREA ]YES . NO <br /> r <br /> BUILDER COMPANY. 3':l/JLC°s <br /> SIGNATURE '� °� REGISTERED Y/ N FEECURREh . Y/:N - <br /> Address' 7 3 rt e r al Lla �I g License# Mt S 3 Z 164 <br /> ELECTRICIAN' COMPANY . <br /> SIGNATURE REGISTERED' Y-/'.,N T- FEE C(JRRE� Y/N <br /> Address License# �-� <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED. • `Y'F-N, FEE CURREn <br /> Address. License.# <br /> MECHANICAL:" ,,-,; COMPANY <br /> SIGNATURE'. F REGISTERED. Y/ N •FEE CURREh <br /> Address.. License#. <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED 'Y/.N;.,.: .• FEECURREN.. <br /> Address ,License# �_ <br /> RESIDENTIAL: Attach`{Z}PIot-Plan's;.(2)'-sets of"Bulldirig'Piahs',(1)s'et.af.Energy Forms;`WA_ V,Pemiit for ne•wcaristructlon,. <br /> wMinimumten-(10)Worning:dsys af(0h subm(tal'dates:Required'onsite;'Constr`uctiori•Plans;Storniwater Plans iv)Silt Fence installed, <br /> Sanitary:Fsoilities 8;1.Aumpster,,Slte WorWPermiffor sUbdivisions/large projects - <br /> COMMERCIAL Attach(2)complete,sets af,Building Piansxplus•a=Ufe:Safety.Page;"(1)'.se#'of Energy"Fohns.R-OV Permit for•new.cohstruction. <br /> Minimum ten(10)working;dayLs;aftersubmittat date::;RegWred-onsite;Constryctlon,:Planstistormwater P...l <br /> lltie ans w/'Sitt'Fence installed; <br /> Sanitary Facls&1 dumpsteP:Site W&k'Permit for 411 new projects.All commercial.requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered'Plans. <br /> "•'PROPERTY SUkV9Y'regliired for all'NEW construction. <br /> Dlrectlons: <br /> .Fill cut application completely. <br /> Owner&Contractor sigp.back of;application,notarized <br /> -if over$2ti00,a Notice of,Commencement is r'et(irtied. (AtG upgrades over$7500) <br /> Agent(for the.contractor)or.Power of:Attomey;(for the owner)would be someone with notarized-letter from owner authorizing same <br /> OVER THE COUNTER•PERMITFING (pop of contract required) <br /> Reroofs if shingles Sewers Service-Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />