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813-780-0020 City of Zephyrhills Permit.Application Fax 813aso-0021 <br /> Building Department <br /> R <br /> Date Received Phone Contact for Permitting <br /> Owner's.Name Owner Phone Number <br /> -Owner,'s Address Owner .Phone.Number. <br /> Owner Phone Number <br /> JOB ADDRESS' LOT# <br /> " .SUBDIVISION - ^irk _j PARCEL ID# <br /> (OBTAINED ROM.P.ROPERTKTAX,ISkTICE): <br /> WORK PROPOSED e NEWCONtTil-F71. ADD/AL•T Q SIGN --,DEMOLISH INSTALL 8• REPAIR <br /> PROPOSED USE Q SFR Q COMW ��• OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK - FRAME STEEL = <br /> DESCRIPTION OF.,WORK <br /> BUILDING SIZE i SO-FOOTAGE,�-� -HEIGHT,. <br /> 7 =13UiLDiNG $ VALUATION OF,TOTAL CONSTRUCTION' <br /> =•ELECTRICAL ($ AMP'SERVICE Q DUKE ENERGY' W.R.E.C. <br /> =PLUMBING <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION ` <br /> =GAS Q -ROOFING 0,.. , SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS •,ELOOD.2ONE AREA. OYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN . 'Y/N <br /> Address License# <br /> ELECTRICIAN, COMPANY <br /> SIGNATURE REGISTEREo' Y,/-:N ' FEE CURRU Y7 N <br /> Address . 'License# <br /> PLUMBER F COMPANY <br /> SIGNATURE I` ~" REGISTERED Y"% N FEE CURREA <br /> Address. Ll'eense.# r <br /> MECHANICAL COMPANY <br /> SIGNATURE` REGISTERED YIN FEE CURREN <br /> r <br /> Address. License4], <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y!.N .: :.. FEE,CURRER: <br /> -Address License# r ^� <br /> RESIDENTIAL Attach''{C}`PlotPlans;.(2)setsof'BuilclingPlaris;,(1)'set,ofEnergyFor <br /> ms;'R=0J1N,t?emjltforneWtPristruction, <br /> -Nifitmumunz(�11)j�Workh days"afteh'stibmittaV*date:``4direi3 onsite;Const�r`z cd;i Pta'rls;Si6r.riwaler`Plans wi Silt Fence installed, <br /> Sanitary:Facilifies kj1 durnpster;,Site Work<PermIFIbrsubdivi'slons/large-projects <br /> -COMMERCIAL Attach(2)complete.sets•of.,Building•Plans;pius•a1lfe:$afety,Page;(1)'.set`of!Energy.Forms.R-OrW Permitfor,:new construction.- <br /> Minimum ten(1t))avorking,days�afEetsubmIttal da#e.,i e., iied-onsite;Constr.ucUon.Pl@ns;;p!ormwater,P.lans*.w/SIlt�Fence-instalied," <br /> Sanitary Facilities&1 dunipster`.Site'Wdrk Perind for ail new projects.All.commercial.requirements must meet compliance. <br /> SIGN PERMIT Attach(2)'Sets of Engineered;Plans. <br /> ""PROP!ERTY S.11*VE1!fequlred for ail'NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner..&Contractor sign.baek of,, erfaeapplication,notarized <br /> If over$2501),a Notice bf_Com mment is required. (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=P..ERMITTING (copy'of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter If on public roadways..needs ROW <br />