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813-780-0020 <br /> City of Zephyrhills Permit Application <br /> Building Department <br /> "Date Received —4,,7,0 phone Contact for permitting <br /> Owner's.Name 57��f�{J /i-,. t7Q�� L r✓ Owner Phone Number <br /> .;;•'Owner's Address Del Owner Phone.Number �� 46 5 3 Q, <br /> 2eph�y V1 I I I s FL 33 LFa, Owner Phone Number �— <br /> JOB ADDRESS' e i VL Ze- i I S EL .-LOT# <br /> SUBDIVISION Wk �ew00 d tY)G'a�6e PARCEL 10# V ZJ <br /> (08TAINED=FROM.PROPERTY TAX,NOTICE)= <br /> .WORK PROPOSED NEw CONSTR ADD/ALT . ' SIGN C] DEMOL€SH <br /> ®' INSTALL. , REPAIR <br /> PROPOSED USE: SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK 0 FRAME -STEEL Q <br /> fn5-DES b4 &4,We �,�IS okl C8 �(a��r,�-,� WinalalOs 01nA �� � (o' S i►Of 61 r>00(Z . <br /> DESCRIP IO O..• ORK <br /> BUILDING SIZE SQ•FOOTAGE= -HEIGHT] <br /> } B VALUATION OF`TOTAL CONSTRUCTION <br /> i ©BUILDING $ �y J gCJ <br /> i o(lD <br /> Q AwSERVICE DUKE ENERGY' <br /> ELECTRICAL. $ � Q 0 W.R:E.C. <br /> =PLUMBING $' <br /> =MECHANICAL $' VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONEAREA r]YES NO <br /> BUILDER /'L G�%` 'C/" '��l COMPANY <br /> SIGNATURE }1 Y i N 1� FEECURREn N .... . <br /> ' <br /> Address License# <br /> ELECTRICIAN' COMPANY <br /> SIGNATURE REGISTERED' Y/ N FEE CURR6 Y/.N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED • ,Y-/-N' '"FEE CUR'RE`'a <br /> Address License# I(; <br /> MECHANICAL COMPANY ,. <br /> SIGNATURE'. REGISTERED 1, Y/ N FEE CURREN L <br /> Address.. License#.,F �. <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y%.N>.,., .FEECURREn. .. <br /> Address <br /> ,. .License# <br /> RESIDENTIAL Attach'{Z)'Piotl?laris;(2)`sets of'Buildirig'Plans;(1)s'et$Energy Forms;`R=O-W.,,ermit far new�ccnstructlon. <br /> Minimum ten(IO)working:dElys`after subm ittal`•date:'Required-ons€te;Constnictloii Plans;SiomiwaEer Plans'w%Silt Ferice installed, <br /> Sanitary:Facilities k�tdumpster,;Site Work�Permitfor subdiV€sions/large projects" <br /> COMMERCIAL Attach(2)complete,sets of•,Bu€lolpg Plans plus a;Ufe:Safety.Page;(1).set of!Energy.Fofts.R-OV Permit f(itn6w:construction. <br /> Minimum ten.(10),working)days;after submittal date i Reguired-ons1te;Constructi .Plansl:Stormwate[Ps w/. !an 61itFence installed, <br /> Sanitary Faciiities&1 dumpste�:Sit'e'WA P'ermtffar all'oew projects.All comm onercial.requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of-Engineered'Pians. <br /> PROPERTY.tSi1RVEY'required forall NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&.Contractor sign.back of�applicatign,notarized <br /> If over$ii ti,a Notice'of Commencementis requlred. (A/C upgrades over$7500) <br /> Agent(for the•contractor)or Power ofAttomey,(for the owner):would be som eone4 with notarizedletter from,owner-authorWng.same v.. ' <br /> OVER THE COUNTER PERMITTING (capy;;af contract required) <br /> Reroofs if shingles Sewers" R'Service.UpgradevWC Fences(Plot/Surrey/Footage) <br /> Driveways-Not over Counterlfon pu6lic`roadways..needs ROW <br />