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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> g <br /> Date Received Phone Contact for Permitting <br /> Owner's.Name Owner Phone Number <br /> '.".,,:Owners Address Owner Phone.Number <br /> kk� • <br /> i Owner Phone Number <br /> �. JOB ADDRESS' -.LOT# <br /> �{Z <br /> .SUBDIVISION )�b Vie PARCEL ID# <br /> . (Oa.TAiNEDPFROM.P.ROPERTY TAX,NLlTICE): <br /> WORK PROPOSED NE•W CONSTR ADD/AI-T '•SIGN 0. 0 ;DEMOLISH' <br /> e INSTALL 8 kEPAIR <br /> PROPOSED USE Q SFR = COMM C�• OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK FRAME STEEL Q <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE .�� —� SQ•FOOTAGE; . •HEIGHT.•� <br /> =BUILfliNG $ VALUATION OF,TOTAL CONSTRUCTION, <br /> =•ELECTRICAL $ AMP'SERVICE . Q DUKE ENERGY' Q W.R.E.C. <br /> =PLUMBING $` <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING. Q,. ;. SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS .:FLQOD.ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE '' REGISTERED . Y/ N I FEE CURREN <br /> Address'- License <br /> ELECTRICIAN' COMPANY <br /> SIGNATURE REGISTERED' Y/1 N ' FEE CURRENL_XLtLj <br /> Address , •Llcense ,'� � <br /> PLUMBER COMPANY <br /> SIGNATURE �F REGISTERED Y7 N FEE CURREN LY IN Y d <br /> Address. License.# 1 ' '` <br /> MECHANICAL' .,•;' COMPANY <br /> SIGNATURE` REGISTERED Y/ N I FEE CURREN Y./N - <br /> Address. V License#..� <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y ,•N,,.,. FEECURREM1. .. }'X;N <br /> -Address License# i <br /> I. '}' x. . <br /> RESIDENTIAL Attac -(2)'Plot:Plans;,(2).`setsofBuildirig;Plans:.(1)set.ofEnergyNorms,'R-O'.tNRermitfornew.canstruction,, <br /> :Iuliriilr►um fen.(1'O).working.days=afteP submittai=date.`Reds iiei!onsite;'Gbhstrite@ori'Plalis;Starrriuiater Plans- Silt Fence installed, <br /> Sanitary:Facillttes 8�1:dumpster:;Site Wdrk.Permit-f6rs6bdtvi'sions/targe•prdjects* <br /> COMMERCIAL Attach(2)compiete,sets-gf.;Building Plans,-plus-a.L•ife;Safety'.Page;(1.)'setof�Energy%Fo'rms.R-0=W Permit for,-new construction. <br /> Minimum ten.(10),wgr.kirig,days of pr,,submittai date..Required onsite;Constrriction•Ptans;,Stormwater Plans'w/Sitt'Fence installed, <br /> Sanitary Facilities&1 dUMpst` Sife`i' &k Permit for al'!'new projects.All commercial.requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered:Plans. <br /> "**PROPERTY$U'M—Y'required for ail'NEW cbristruction. <br /> Directions: <br /> Fill out application completely. <br /> Owner:.&'Contractor sign.back of,•application,notarized <br /> 'If over$2506,a Notice of comrriencement is required. (A/C upgrades.over$7500) <br /> '* Agent(for the contractor.)or.Power.of Attorney;(far the owner)would be someone.-with notarized-ietter from-owner authorizing'same <br /> OVER THE,COUNTER•P.ERMITTING -- (cgpy;bUcontract required) <br /> Reroofs if shingles Sewers Service Upgrades:A/C Fences(Plot/Survey/FODtage) <br /> Driveways-Not over Counter If on public roadways..needs ROW <br />