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813-780-0020 City of Zephyrhills Permit Application Fax s13-780-0021 <br /> Building Department <br /> 4 • <br /> Date Received: Phone Contact for Permitting <br /> @: Owner's.Name Owner Phone Number <br /> Address Owner Phone-Number <br /> Owner Phone Number �- <br /> {. JOB ADDRESS' LOT'# io <br /> .SUBDIVISION - PARCEL ID# <br /> (OSTAINED40ROM.P.ROPERTY TAX,NOTICE) <br /> WORK PROPOSED <br /> e NEWCONSTR 'ADDIAL•T [� SIGN = C] ",DEMOLISH- <br /> INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM C�, OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL 0 <br /> DESCRIPTION OF WORK <br /> .BUILDING SIZE •� SQ•FOOTAGE-= -HEIGHT. <br /> f4.4 <br /> l <br /> =BUILDIhiC, $ VALUATION OF,TOTAL CONSTRUCTION' <br /> =ELECTRICAL $ ^' AMP'SERVICE Q DUKE ENERGY' C] W.R:E.C.• <br /> =PLUMBING $' <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING Q SPECIALTY 0, OTHER <br /> FINISHED FLOOR ELEVATIONS FLO.OD:ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CU(RREM1� Y I N <br /> Address License# <br /> ELECTRICIAN, COMPANY <br /> SIGNATURE .REGISTERE6* Y'1:N FEE CURREN ' Y/N <br /> Address , License# <br /> PLUMBER I' �}� COMPANY 2'° <br /> SIGNATURE t -��' "`�r REGISTERED Y1,114 FEE CIJRREA �(rN`"; <br /> Address. License.# F7 7 ' <br /> MECHANICAL' ::;" COMPANY <br /> SIGNATURE' REGISTERED Y/ N FEE CURREM1 Y/"N <br /> �. <br /> Address. License-#.! <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED' Y!,N>,:.. FEE,CU(R'R'Et�. •`Y I;N,• '�I <br /> Address License# l` ! <br /> RESIDENTIAL Attach''{2y Plot Flans;.{2}sets'ofBuiiilirg;Piaris;,(1}'set of Energy FprrrlS;'RO;�IIi Rerrrii�fbr qew.construction: <br /> Minimum•ter.q-10)rQorking'days'afteksubliiittai riate.``Reglairec!ansite;t bnstri coon Pfa s;Si6rmwater`Plans., Sift Feflce installed, <br /> Sanitary:Facilities k-tdumpster",Site Wdek�Permit-fbr�tUbdivisions/large•prdjects <br /> COMMERCIAL Attach(2)compiete,sets•of;Building•Plans plus•arLife;'$afety;Page;(1)Setof!EnergyForms.R-a-W Permit for,:new construction. <br /> Minimum ten,(10):,;rgtkingxdays.aftet;:,SU6.itol date;•Required=pnsitec Canstruction•;Plans;Stormwater Rlans w/Silt -installed,' <br /> Sanitary Facilities&1 `new projects.All commercial.requirements must meet compliance <br /> SIGN PERMIT Attach(9)sets of Engineered:Plans. <br /> ****PROPERTli'RY S. VEY'required for ait NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner-&•Contractor sign.back of,•appiication,notarized <br /> If over$2500,a Notice of Commencement is required. (AIC 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 contraet 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 />