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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received phone Contact far Permitting <br /> E: ..,•Ownees'-Name Owner Phone Number <br /> ,;;•:Owner's Address Owner Phone Number <br /> Owner Phone Number <br /> JOB ADDRESS' LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED,'FROM:PROPERTY TAX,Nt2710E)'. <br /> ;WORK PROPOSED . NEW CONSTR, AQD/ALT- . '0 SIGN [� Q rDEMOLiSH <br /> e INSTALL. 8 REPAIR <br /> PROPOSED USE, 0 SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION , BLOCK 0 FRAME STEEL Q <br /> DESCRIPTION OF.WORK <br /> BUILDING,SIZE WFOOTAGE= HEIGHT <br /> , . <br /> BUILDING $ � <br /> VALUATION OF°TOTAL CONSTRUCTION <br /> Q£LECTRtCAt. ($ AMP'SERVIC£ DUKE ENERGY' Q W.R:E.C. <br /> =PLUMBING $' <br /> =MECHANICAL $• VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING 0,., .SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS fLO.OasZONE AREA [ ]YES . NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/•N FEECURREP Y/•N <br /> Address License# <br /> ELECTRICIAN, COMPANY <br /> SIGNATURE REGISTERED" Y/`N FEE CURREh LILN J. <br /> Address License#T77- <br /> PLUMBER �' } ��- COMPANY <br /> SIGNATURE «<...✓J/ REGISTERED Y/=N FEE CUR'RE <br /> Address. License.# 1( 7 <br /> MECHANICAL .:,, COMPANY <br /> SIGNATURE. REGISTERED' Y/ N FEE CURREN " :`.Y/N <br /> r <br /> Address,. License#. �. <br /> OTHER COMPANY- <br /> SIGNATURE REGISTERED Y/,N,,,.; FEE,CURRE,K,.-. L Y`/;N:._ <br /> Address .License#J. � <br /> r.,.. <br /> RESIDENTIAL Attach{2}Ptot Plans;{2)'sets ofButli3ing'Plans;.(i).set of Eaergy.Forms;'RO=�N Perrriit.for new cons#ntctton, <br /> kt , P , <br /> ,Miriimum-.ten-(�10)'Workind.days after-subnmittal`da1e,`l k6iri oinsite,Constrnctiori Plans;Stormwater Plans.w/Silt Fence installed, <br /> Sanitary:Facilides kj_,dumpster,,Sife Wark,Permit`forsubdivisions/large-projects` <br /> COMMERCIAL Attach(2.)compiete,sets.of..Building Plans;plus,a�Life Safety-Page;(1)setof EnergyForms.R-O�W Permit for.new.construction. <br /> Minimum ten,(10),working,days.aftersubmittai date:,Reguired-onsite;Construction:Plansti'Stom7water Pians w/SiltFence installed; <br /> Sanitary Facilitres&1 dump§ter.Sife W6W PermiEfor al!new projects.All commercial.requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> "'•PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign.back ofapplication,notarized <br /> 'if over$2500.a Notice of'Corr.imer!cement is required. (AfC upgrades over$7500) <br /> I Agent(for the.contractor)or Power of;Attomey1-for the owner).would be someonewith notarized letter from owner•authorizing same <br /> ER THE COUNTER PERMITTING {copy,of contract required) <br /> oofs if shingies Sewers Service Upgrades-A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />