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813.780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Dat®Received Phone Contact for Permittin ,.J <br /> owner''s Name �%,�y L-�1 .�i� Suo OE Owner Phone Number g1 <br /> :,;••Owner's Address S70��EP lc.�L�S Owner Phone Number' <br /> Owner Phone Number <br /> I <br /> JOB ADDRESS' 97E ��L:,J -.LOT# <br /> SiIEIDIVISION PARCEL ID# 1 D"2 6—ZY' DDI a " 6 <br /> (08TAINED4ROM:P.ROP,ERTY TAKOOICE) <br /> WORK PROPOSED. . NEW CONSTR ADD/ALT , L._ , SIGN 0 �� DEMOLISH <br /> R INSTALL. . R'EFAIR <br /> PROPOSED USE: ® SFR Q COMM , OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK FRAME �' STEEL Q <br /> DESCRIPTION OF.,WORK 120AISTEUC-77 14,)J, 4>F „J 0L) �- > f� <br /> BUJLDING.SIZE � � SQ•FOOTAiE. . HEIGHT-1 <br /> ­­4...........In.reMiffiiiiii, L. i.-�. <br /> B61LDING $ VALUATION OF�TOTAL CONSTRUCTION' S �� <br /> i <br /> [Z]ELECTRICAL $ 7] <br /> AMF'SERVICE ® DtlKE ENERGY [� W.R;E.C. <br /> I Or o- ate <br /> PLUMBING $' / <br /> ®MECHANICAL $• VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS „FLOOD2ONE'AREA. YES , NO <br /> I <br /> BUILDER - , COMPANY <br /> SIGNATURE - REGISTEREpI Y/ N FEE CURREp . Y•/N <br /> Address &.51 K V Z6 t License# ��-�l_5aXa1_3_9 <br /> ELECTRICIAN' � — COMPANY <br /> SIGNATURE REGISTERED' Y/ N FEE CURREN Y T N <br /> Address License# <br /> PLUMBER S` , l COMPANY <br /> SIGNATURE REGISTERED Y%`N FEE CURREn. <br /> Address. License# . <br /> MECHANICAL .:,; Q�i rf COMPANY <br /> SIGNATURE'. r 7 c>7, k REGISTERED Y/ N FEE CURREN Y/'N <br /> Address•. ( . License#.F77-77. <br /> OTHER COMPANY <br /> SIGNATURE ' REGISTERED Y/:N,.,.. FEECURREA.,.-, Y!Y;N:•_ <br /> -Address � License#T r <br /> : :,. <br /> RESIDENTIAL Attar:r(2)iPiot Plans;(2)`sets of 8uildirig'P..lans;(1).set.of Energy Farins;`R iN Permit far new:canstruction,. <br /> Minimum ten-(-10,)working``days'afteksubniittal`date. Re'quired,onslte;'Constnicdoi1.Mani,SiormiNater Plans w!Silt Fence installed, <br /> Sanitary_Facilities&.:Aumpster,,Slte WorkPermit for subdivisionsAaige projects <br /> COMMERCIAL Attach(Z)complete.sets af,:Building Flans;plus a,Life:$afety.Page;(1:)'.set o€Energy Fotms.R-0-W Permit for.-new.construction. <br /> Minimum ten(1.0),wgrking,deys;aftersubmittal daxe,Regured onsite;Construction:Plansw$tormwater Plan' ouilt'Fence installed' <br /> Sanitary Facilities&1 dumpster.Site' 'di*'Permit for all'new projects.All commercial.requirements must meet compliance <br /> SIGN PERMIT Attach(;).sets of'Engineered Plans'. <br /> ""PROPER'TY I�RVE-SY'required for all NEW construction. <br /> Directions: i <br /> Fill out application completely.., <br /> Owner Si Contractor sign.back of{application,notarized <br /> if over$"66,a Notice of'Comm9.ncement is required.,-.{A/C upgrades over$7500) <br /> Agent(for the.contractor:)or'Powerof.Attorney,(for the owner)would'besomeone.with notarized1etter from owner-authorizing same <br /> OVERT! S COUNTER•P..ERMFITING :(qqp ;of cantract'rc quireci} <br /> Reroofs If shingles Sewers` Service:Upgrades..k. •Fences(Flot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROWi <br />