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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date'Recelved -Phone Contact for Permitting <br /> Owner's.Name Owner Phone Number <br /> ;; Owner's Address Owner Phone.Number `1 <br /> Owner Phone Number <br /> JOB ADDRESS' LOT#' <br /> ;,SUBDIVISION �y PARCEL ID# <br /> (OSTAINED,FROM:PROPERTY TAx.NOTICE) <br /> WORK PROPOSED, NEW CQNSTR ADD/ALT [� SIGN 0 Q DEMOLISH <br /> e INSTALL 8: REPAIR <br /> PROPOSED USE., Q SFR � GOMM : OTHER <br /> TYPE OF CONSTRUCTION BLOCK [_]. FRAME"_- STEEL C] <br /> DESCRIPTION OF_WORK <br /> Bg1LDING,SIZE _�— SQ•FOOTAGE;= • HEIGHT. <br /> QBUlkD1NG VALUATION OFIOTAL CONSTRUCTION <br /> I QEI:ECTRICAL $ 1 AMP'SERVICE Q DUKE ENERGY' Q W:R:E.C. <br /> =PLUMBING $' <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING ,Q, SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS r :FLQOD2ONE-AREA. =YES - NO <br /> BUILDER COMPANY <br /> SIGNATURE '' REGISTERED Y/ N FEE CURREN . . Y/N J . <br /> Address License# <br /> ELECTRICIAN, COMPANY <br /> SIGNATURE REGISTERED' j Y/`'N - FEE CURREN Y CN <br /> Address -License# � I <br /> PLUMBERS i'I �-- COMPANY ¢'` `'t ', <br /> SIGNATURE ,REGISTERED - Y_l'N. FEE CURREA <br /> Address. License.# ` <br /> MECHANICAL -; COMPANY y..., <br /> SIGNATURE' REGISTERED Y/'N FEE CURREP •'•Y/'N " <br /> Address License"#.,[ �. <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/:N,. ., FEE CURREN- <br /> -Address License# . <br /> �.. <br /> RESIDENTIAL All (2)-Plot Plans;.(2)-sets ofBuiidIhg'.Plaris;(1)`set.of E»ergy, orins R=O=W Perrriil.for new:coristruction,` <br /> Minimum ten(10)'•Itiorking•dags after subrrmittal'date 'Ri ulretl onsite;`Constnrcltor­rti Plans;Stormwater Plans-w%Silt Fence installed, <br /> Sanitary,Facilities&;;1:,dumpster,,Sltb Work'Permitf6t subdivisions/large°projects: <br /> COMMERCIAL Attach(2)complete,sets•of,Building°Plans.plUs:a-Life-,,Safety.:Page;'(1).set of Energy"Forms.R-OV Permit for.,new.construction. <br /> Minimum ten;(10)morking,days aftersubmittai date ._Re9uired onsite;Construction:Plans;:,Stormwater Plans w/Silt Fence installed <br /> SanitaryFacillties&1 dumpst6-r.Sit`e iNork Periniffor all'new projects.All commercial.requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered-Plans,. <br /> `*PROPERTY SUAVEY required for all NEW construction. <br /> Directions: <br /> .Fill out application completely. <br /> OwnerA:Contractor sign.back of application,notarized <br /> If over$2t bfi,a Notice of Comrri®ncement is required. (A!C upgrades.over$7500) <br /> Agent(for the contractor)or Power of;Attomey;(for the owner).would be someone.:with notarized-letter from owner authorizing same <br /> OVER THE COUNTER F-ERMITTtNG {copy;'of"contract required} <br /> Reroofs if shingles Sewers Service Upgrades.A/C Fences(PlottSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />