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813-780-0020 City of Zephyrhills Perm-it Application Fax-813-780-0021 <br /> Building Department <br /> Date,qecelvej Phone Contact for Permitting <br /> .................. .............................................................. ............ <br /> Owner's Name j&:pk3. tit VkS� ASSrc- Owner Phone Number <br /> Owner's Address 06 Owner Phone Number <br /> Owner Phone',Number <br /> JOB ADDRESS' ZS Arwoo& --LOT# <br /> SUBDIVISION PARCEL ID# 0 '21. _c)_6- c4,k- C)-A%Z- 'V jo__0 0 C)O 0 <br /> (OBTAINED FROM-PROPERTY TAX 140716E) <br /> WORK PROPOSED NEW CONSTR ADD/ALT -SIGN DEMOLISH' <br /> R- INSTALL R REPAIR <br /> PROPOSED USE SFR COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> DESCRIPTION, OF WORK Reroo-F G Bi E, 7k-Im er. i't t119 Sqzunr-r , 4AIF <br /> i <br /> .BUILDING SIZE FOOTAGE.= -HEIGHT . o i-J(A�11 I <br /> =BUILDING VALUATION OF TOTAL CONSTRUCTION' 4V I rVf0C) W 1$ <br /> =ELECTRICAL $ AMP'SERVICE 0 DUKE ENERGY, Q W.R.E.C. <br /> =PLUMBING <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L_y LN_j <br /> Address License# <br /> ELECTRICIAN" COMPANY <br /> SIGNATURE REGISTERED' YVN - FEE CURREN N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/.N,' FEE CURREN N L_j <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE" REGISTERED Y/ N FEE CURREN <br /> Address License <br /> OTHER <br /> COMPANY, <br /> SIGNATURE <br /> REGISTERED l 'Y/, N7,j_ FEE,CPRREN. <br /> Address "o License <br /> l 2 1 m m m 2 2 6 11 2 1 <br /> RESIDENTIAL Affach-(2)'Plot'Plans;(2)zetS;of Yullding'Plans.-(1)set of Energy Forms.'R-O-W.Permit <br /> ermit for new construction, <br /> . -Minimum ten(10)working dbysafter subr�iffai'date..-Required 6nsite,doniti ctio'ri Plans,SidnTwait4r Plans,w/Silt Fence Installed, <br /> Sanitary:.Facilities&4,dumpster;Site Work iPermit'f6rsbbdl%iislohsAargb,pr6jbdts'' <br /> COMMERCIAL Attach(2)complete.sets-of Bull-ding Plans.plus;a 1&.*Safety-Page;(1),set,of Energy.Forms.-R-Cr-W Permit fbr:n6w construction. <br /> Mini mum ten(10).working,d'ays after submittal date. Required.onsite;Construction Plans,Stormwater Plan's wl Silt Fence Installed,* <br /> Sanitary Facilities&I dump6ter.,She Work Permit 6 eknew*projects.Alfcommercial,requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> *..*PROPERTY SUIiV&requIred for all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor Sig n.back of.application,notarized <br /> 'ff over$2600,alloti�ce-ofC.orKimencementisrequlred. (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 of contract required) <br /> Rerool's If shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter If onpublic roadways..needs ROW <br />