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i <br /> 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> b <br /> Owner's.Name ( (Q.M ,t Owner Phone Number <br /> I.C:Owner'sAddress 9 I(S5 S� Owner Phone.Number �- <br /> Owner Phone Number <br /> JOB ADDRESS' ..LOT# <br /> SUBDIVISION S(J b ea a GI d PARCEL ID# 0 -00 9'd0-.d 0 Z 0 <br /> (OBTAINED',FROKP.ROPERTY TAXAbTlcd); <br /> ,WQRK PROPOSED .. NEW CONIM ADD/ALT . ' SIGN Q Q 'DEMOLISH' <br /> EJ ' <br /> INSTALL El. k:EPAIR <br /> PROPOSED USE, SFR Q COMM . OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK Q FRAME STEEL Q <br /> DESCRIPTION OF WORK ��� / (/� > Cke g4ce Fe <br /> .BUILDING,SIZE DOTAGE; 1 b r HEIGHT-F <br /> r <br /> I =BUILDING $ 3( O <br /> VALUATION OF'TOTAL'CONSTRUCTION' <br /> =ELECTRICA,.L $ � AMP'SERVICE Q DUKE ENERGY' 0 W.R:E.C. <br /> QPLUMBiNG <br /> =MECHANICAL $• VALUATION OF MECHANICAL INSTALLATION <br /> =GAS 0 ROOFING Q_ . .SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS. ELOOD ZONE'AREA =YES . NO <br /> BUILDER COMPANY P Fewe Arm <br /> SIGNATURE '" REGISTERED Y/-N FEE CURREN:/ Y/,N <br /> Addresss' S License# <br /> ELECTRICIAN' COMPANY <br /> SIGNATURE REGISTERED' -A" YY'W. FEE CURREN L,Y/.N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED YT N FEE CURREN <br /> Address. License.# F77" <br /> MECHANICAL- .;,; COMPANY <br /> SiGNATURE' REGISTERED 1, Y/ N FEE CURREA <br /> fw <br /> Address License#.,� <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y7. N,,,.. .. .FEECURREN,.•.' <br /> Address , License# <br /> t <br /> RESIDENTIAL Attach(2)Ptot Plans;(2)`sets'of 8ulid1.in6'Pi66s;(1);se#bf.Energy.Fonins;'R O=W,Perrrsitforineivcacis#ruction,. <br /> ,Miniinum'•ten•(10)working'days after submittaf:dates'Regtired onsite';'Co'nstiuction Pians;Stormwater Plans,w)Silt Fence installed, <br /> Sanitary;Facilities 8;,;1;0umpster;:Slte Work^Permitldr sulidivisions/large•projects' " <br /> COMMERCIAL Attach(2)complete.sets of,.Building Plans;pids•a�Ufe:Safety Page;(1).set of Energy Forms.ROW Permit for�new.carrstructlon. <br /> Minimum ten(10),working3daysaftersubmittal date:,`Required+onsite;Construction,Plans,"Stormwater Plans w/SiltFence installed, <br /> Sanitary Facilities&1 dunipster.Site Work P'srinit for ail"new projects.All commercial.requirements must meet camptiance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans'. <br /> ""PROPERTY Sll'R1%EY'required for all NEW construction. <br /> A.'... <br /> Directions: <br /> Fill out application completely. <br /> Owner&_Contractor sign.back of appiicatign,notarized <br /> 'if over$2506,a Notice of Commencement is requlred. (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 COUNTERPERMITTINC (copy,'of contract required) <br /> 1 <br /> Reroofs if shingies Sewers Service.Upgrades'A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br /> it <br />