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813-780-0020 City of Zephyrhills Permit Application Fax-818-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> Owner's•Name Owner Phone Number <br /> r <br /> :Owner's Address (U' .670 ? �' .�l��[L_ `��_ Owner Phone.Numbar I <br /> ��1�+�?ial L �;_ SN Owner Phone Number ^� <br /> I <br /> JOB ADDRESS, P-� -.LOT# � L4 <br /> :SUBDIVISION PARCEL ID# <br /> (OBTAINED:"'PROPERTYTAx,NOTICE):. <br /> WORK PROPOSED .. = NEW CONSTR ADDIALT- 'C= SIGN �. 0 DEMOLISH <br /> e INSTALL � . REPAIR <br /> PROPOSED USE, SFR" Q COMM OTHER <br /> Tj1rPE OF CONSTRUCTION 0 BLOCK 0 FRAME STEEL 0 <br /> 'DESCRIPTION OF WORK /I/yt I, —i' 1�i= i` <br /> ,BUILDING,SIZE So-FOOTAGE.= HEIGHT. <br /> .=BUILDING $ <br /> +'} 0(",�� VALUATION OF`TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AWSERVICE = DUKE ENERGY 0 W.R:E.C. <br /> =PLUMBING $' <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING Q .SPECIALTY F--1 OTHER <br /> FINISHED FLOOR ELEVATIONS -;FL0OD2ONE-AREA =YES . NO <br /> BUILDER JCOMPANY <br /> SIGNATURE '" REGISTERED Y/ N FEE CURREN . Y•/N 1 ( <br /> Address, License# <br /> I <br /> ELECTRICIAN' COMPANY <br /> SIGNATURE REGISTERED' Y-/`N FEE CURREN ' Y 1.N <br /> i <br /> Address License# 1 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y'/ N FEE CURREN <br /> Address. License.# I'" ' <br /> MECHANICAL- .,:; -COMPANY <br /> SIGNATURE' REGISTERED Y/ N FEE CURREN •"Y/'N ' <br /> Address F License#"1 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y7,N,.,•, FEE CURREN..- - " Y1.,N..- <br /> Address <br /> RESIDENTIAL "Requi <br /> Attach(2)Plot Plans;{2)-sets-of`Building'Plaris;(1)set.df Energy Forrri�s;'R=O=UU Permit for'new=ctlnstruatian,. <br /> i.f <br /> Minimum.ten•(�10)'�working.days'after sube&fdates.' r'ed onsite;Co'nstrncUori.Plans;SidmiWAi Plans w/Silt Fence installed, <br /> Sanitary:Facilities 8;1'dumpster,;Slte Wdrk�Permit for subdivisions/large projects' <br /> COMMERCIAL "Attach(2.)complete,sets�af Building Plans;plus•a•Lifo:$afety.Page;(1.)".set°of'Energy'•Forms.R-0=W Permit for:new.cohstruction. <br /> Minimum ten'(10),working,days after;si�u���bmittal date ..Required onsite;Cpnstruction;PLans;:Stormwater Plan' w/Silt Fence installed; <br /> Sanitary Facilities&1 dunipster:Site VVO�IC P r'm'if for all'new projects.All commercial.requirements must meet compliance <br /> SIGN PERMIT Attach(;),sets of Engineered Plans. <br /> ""PROPERTY•SOMYYequired for al1 NEW cbnstruction. <br /> 'I <br /> Directions: <br /> Fill out application completely. <br /> Owner.&Contractor sign.back of.application,notarized <br /> 1f over$2500.a Notice bf Commie»cement is iii4uired. (AIC upgrades over$7500) <br /> Agent(for the•contractor)or Power of;Attorneylor the owner).would b.e someonewith notarized-letter from-owner authorizing same <br /> OVER.THE COUNTER•PERMITTING (copy,'of contract-required) <br /> Reroofs if shingles,_ . "Sewers "' .Servica.Wpgrades:YA/C is Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter'if on'public roadways.::needs ROW <br />