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813-780.0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Data Received • 2 y. Z o ?Z7 2Y3- <br /> Phone Contact for.... in <br /> Owner's.Name DaNNI>. UP�hi!"i�'�"vSAa �P/w f A Owner Phone Number 1 '?g <br /> : ;-,Owner's Address 'ZZ I Sw j; CAN Owner Phone Number' �U 0:5 <br /> ZL�1�'l�y �u3' �� 33 Sy2 Owner Phone Number <br /> JOB ADDRESS, 4 ZW I -NY � C t/�N�, Z e�hY e fi, S �35YZ LOT# <br /> ;SUBDIVISION �. PARCEL ID# <br /> (OBTAINED FROM.P.ROPERTY TAX,NOTICE) <br /> ;.WORK PROPOSED NEWCONSTR ADD/ALT SIGN Q Q 'DEMOLISH <br /> INSTALL. 8 REPAIR <br /> PROPOSED USE, SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK C]. FRAME STEEL <br /> DESCRIPTION OP WORK 71r.W Po 1t AY Mo6 o To teAC-1 C <br /> BUILDING,SIZE 214'1c112 � SQ•FOOTAGE;= HEIGHT <br /> i BUILD1PfG $ '//600 r Dv VALUATION OF:TOTAL CONSTRUCTION' <br /> ELECTRICAL. $, AMP'SERVICE Q DUKE ENE�IGY' Q 'W.R:E.C. <br /> =PLUMBING <br /> =MECHANICAL $, VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING =__SPEPIALTy_= OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE-AREA. [, YES <br /> �Y <br /> . . <br /> BUILDER COMPANY l!v1�JST1+1�5 <br /> SIGNATURE ' REGISTERED I Y/.N FEE CURREN . `Y•/N <br /> Address, Z6 o ovr-p- tFiW _(2,N49A FG 1%5'C License# �t~� �aZ St Q� <br /> ELECTRICIAN --- `� COMPANY PooI;Ie 1�'teGCy!(,c�L <br /> SIGNATURE REGISTERED' F Y"!`-N " FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE -REGISTERED. YY N FEE CURREN <br /> Address. License.# �. <br /> MECHANICAL .:. -COMPANY - <br /> SIGNATURE'. , REGISTERED Y/ N FEE CURREn Y!N ' <br /> Address,. License-# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/,N,,.,. FEECURRE' .-. <br /> Address License# � . <br /> j <br /> RESIDENTIAL Aftacli(2}F!tot t?lans;(2)sets of Buitding'Pians.(1):set of.Energy Forms`R=O=tN'Permit fot new constructon, <br /> •Minimum•ten:(,Id).ikorkind.'db S'after submittai''date Required onsite;Construction_ •Plans;Stdrn`OAd Pla�sw%Silt Fence installed, <br /> Sanitary.FacilitiesE ,1:.dumpster„Site Wdrk�Permit�for Si Wdivisions/large projects <br /> COMMERCIAL Attach(2}cornpiete,sefs of.;BuitdingiPlans:pius a:Life. afety:Page;(1).set of Energy Forms.R-O�W Permit for:new.cahstruction. <br /> Minimum ten;(10)yporking,days.aftersubmitta(date:;Required onsite;Construction•Plans�;$tonnwater Plans<w/Silt Fence installed, <br /> Sanitary.Eacilibes:&1;diirtipste�'.Stfe'1%Ifoik'Pbrimf for all'new projects.All commercial.requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets.of Engineered Plans. <br /> "PROPERTY SU1RVEYrequired for ail NEW construction. <br /> Directions: <br /> .Fill out application completely. <br /> Owner&:Contactor sign.back ofapplication;,notarized <br /> 'if over Woo,a Notice ofCommencemen!Is required. (A/C 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 PERMITTING (copyrof 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 />