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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> ''Date Racetved Phone Contact for Permittin <br /> 1(/ C et, <br /> V Owner Phone Number -2 <br /> Owner's.Name <br /> Owner's Address 3 Z Owner Phone.Number <br /> ff:qhVr'h01S 1L .3354� Owner Phone Number <br /> JOB ADDRESS' 3 q0 2 2 1 S S LOT# <br /> UBD)VISION PARCEL Intl 12 <br /> -(OBTAINEDFROM.PROPERTY TAX,NOTICE) <br /> ;.WORK PROPOSED .. NEW CONSTR ADD/ALT. -` SIGN �. 0, DEMOLISH <br /> e INSTALL 8, REPAIR <br /> PROPOSED USE, Q SFR ] COMM , OTHER <br /> TYPE OF CONSTRUCTION C] BLOCK 0 FRAME. STEEL Q <br /> DESCRIPTION OF:WORK WLkI —, <br /> .BUILDING SIZE SQ_FOOTAGE1= HEIGHT. <br /> BUILDING p $ "i D, VALUATION OF'TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ 1 � AMP'SERVICE Q DUKE ENERGY' Q W kE.C. <br /> =PLUMBING $ <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> =GAS 0 ROOFING Q. .SPECIALTY r__1 OTHER . <br /> FINISHED FLOOR ELEVATIONS •FLO.OD ZONE AREA =YES NO <br /> BUILDER ® COMP_ W . Vl. <br /> SIGNATURE REGISTERED Acyl W FEECURREN . ; Y•/.N <br /> Address" License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED' Y/`:N FEE CURREN <br /> Address License# � <br /> ,r <br /> PLUMBER COMPANY <br /> SIGNATURE .REGISTERED -1 Y%--N FEE CURREN <br /> Address. License.# ii: ' �- <br /> MECHANICAL, .:.; -COMPANY <br /> SIGNATURE` REGISTERED 1, Y/ N FEE CURREN <br /> Address. License•#. 7. <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y7.•N,.,,: ... FEE,CURREn-.. Yr/;N,•. <br /> Address License# <br /> RESIDENTIAL' Attach-,(2)Plot Pians;.{2j Sets of"6ulldin►iVipins;.(1)``set.ofEneigy,Forms,•"R O-W Pemilt for new:canstructlon, <br /> •Miniinum•ten(10)-"working.days'aftet submitta%date "kdoUlred onsiie;Construction PlanS;"Siormiwater P_lans-iiv Silt Fence installed, <br /> Sanitary:Facilities&;1_dumpster,,Slte Work,Permit4dr subdIVWons/large,projects _ <br /> COMMERCIAL Attach(2)complete,sets of,,Building Plans plus-a�Life-..Safety4Page;'(1)'.set of Energy".Foams.R-O-W Permit for,:new.construction. <br /> Minimum ten:(10)wgrking;4pys-aftersubmittal,dote;,,Required onsite;Construction.Piansti;Stormwater Plans'.w/Silt Fence installed; <br /> Sanitary Facilitib's&i dumpster.Slid Vlfo k'Permit for al!'new projects.All commercial.requirementsmust meet compliance <br /> SIGN PERMIT Attach(2)sets of-Engineered Plans: <br /> "PROPERTY"SPAVEYrequired for all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Ownei_ Contractor sign.baek of,application,notarized <br /> !f over S2S00,a Notice of Commancement Is required. (A/C upgrades over$7500) <br /> Agent(for the contractor.)or Power of Attorney:(for the owner)would be someone.with notarizedletter from-owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy,'of contract required) <br /> Reroofs li shingle Sewers Service Upgrades-A/C ' Fences(Plot/Survey/Footage) <br /> n , <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />