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813-780-0020 City of Zephyrhills Permit Application Fax 813-780.0021 <br /> Building Department <br /> "Dat®`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 �. PARCEL ID# <br /> (OSTAINEIY=OROM.-PROPERTY TAX1140TICE) <br /> ;WORK PROPOSED. NEW-CONSTR ADDJAL•T" 0 SIGN Q 0 . ,DEMOLISH <br /> R INSTALL , REPAIR <br /> PROPOSED USE, 0 -SFR . 0 COMM . OTHER <br /> TtYPEOFCONSTRUCTION'. BLOCK Q• FRAME [�` STEEL "Q <br /> DESGRlPTIOM OF-WORK <br /> BUILDING,SIZE SCI FOOTAGE•= -HEIGHT.] : <br /> =8UlCD1NG $ VALUATION OFTOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP`SERVICE Q DUKE ENERGY' Q W.R;E.C. <br /> =PLUMBING $' <br /> =MECHANICAL $" VALUATION OF MECHANICAL INSTALLATION <br /> =GAS 0 ROOFING = L. SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS fLOOD20NE`AREA =YES . NO <br /> HHHHHHHluHHHHHHH <br /> BUILDER COMPANY <br /> 77-1 <br /> SIGNATURE '' REGISTERED Y/ N FEE CU(R'R'En , Y/,N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED' Y-/%N ' FEE CURR6 Y/N <br /> Address License#" <br /> PLUMBER / j. <br /> COMPANY <br /> SIGNATURE l Z— REGISTERED. Y/ N E cuRRE� t`Y <br /> Address. License.# C„ <br /> MECHANICAL- .:,; COMPANY <br /> SIGNATURE` REGISTERED Y/ N FEE CURRER Y Y N <br /> Address,. License#. • <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/:N,..: :.. FEErCURRRED Y../;N; <br /> Address License#.(.. <br /> t' <br /> RESIDENTIAL Attacis(2)ptot'Plaris;(2)'`set$of'Buiitlirig'Plaris;(I)-set of.Energy.Forrrms;R;O-1iV Permit for new.consbtrctian„ <br /> . • t�. ..,.t.; •.;,. <br /> rlVlitiimum-ten;{10)working:daps after'submittal`tlate Rediiired-brisite;Cinskction Plans;S}o''rrriwaler Plans 4 Silt Fence'installed, <br /> Sanitary:FacillUes 11 tdumpster;,Sife Work�Permit-forsubdtvi'stops/large projects' <br /> COMMERCIAL Attach{2)complete.sets ofBuildirig Plans,plus e-Life'Safety..Page;(1:).set of!Energy.Forms.R-O-W Permit for,,new.cohstruction. <br /> Minimum ten{1Q)agorking;dayts.after submittal date:;Regu red•onsite;Construction;Plans;:Stormwater Plans°w/Silt Fence installed, <br /> Sanitary Facilities&1.dump§tee.Si{`e'Vllork Permit for all new projects.All commercial.requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engingerod'Plans. <br /> •'''PROPERTY SI1ft1JEY••requlred for all NEW construction. <br /> Directions: <br /> .Fill out application completely. <br /> Owner.kContractor sign.back of,application,notarized <br /> 'If over$2500,a Notice of Comma!, Mont is required. (A/C upgrades.over$7500) <br /> " Agent(for the contractor)or Power.otAttorney,-for the owner).would be someone:with notarized-letter from,owner-authorizing same <br /> OVER.THE COUNTEWPE,RMITTING (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 />