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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> ' Date Received <br /> Phone Contact for Permitting <br /> •Owner's.Name Owner Phone Number <br /> --,,,-..,.:Owners Address Owner Phone.Number F <br /> Owner Phone Number <br /> �;. JOB ADDRESS' _.LOT# <br /> SUBDIVISION � � PMCqLID#1. <br /> (OB.TAINED FROM-P.ROPER•TY TAX14Q7I0E). <br /> "WORK PROPOSED NEW CONSTR ADD/ALT SIGN :0" C] '°DEMOLISH' <br /> e INSTALL B REPAIR <br /> PROPOSED USE Q SFR = COMM OTHER <br /> TYPE OF CONSTRUCTION = BLOCK FRAME E�D STEEL Q <br /> DESCRIPTION OF.WORK <br /> i .BUILDING SIZE SQ"FOOTAGE;= HEIGHT. <br /> 1 <br /> =BUILDING $ 7 <br /> VALUATION OF'TOTAL CONSTRUCTION, <br /> i <br /> =ELECTRICAL $ AMP' [� DUKE ENERGY' W.R:E.C. <br /> =PLUMBING $ <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING Q : SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS (--- FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE ' REGISTERED Y/ N FEE CURREN . Y•/N <br /> Address License# i <br /> ELECTRICIAN, COMPANY <br /> SIGNATURE REGISTERtci)' ,Y'/ N FEE CURREN <br /> Address • 11cense# 1 <br /> PLUMBER t COMPANY <br /> SIGNATURE -REGISTERED Y 1-N FEE CURREf. <br /> Address License.# <br /> MECHANICAL .:;' -COMPANY <br /> SIGNATURE' REGISTERED I Y/ N FEE CURREN <br /> Address V License-#.,�" <br /> OTHER COMPANY <br /> SIGNATURE ReO1$TERED Y%;N.,.... :.. FEECURREM1; - L Y1N:., <br /> -Address License# ; <br /> RESIDENTIAL AEtacli�(2)_Ptot'Ptans;(2)*sets-gf'Buijding-Plar'tis;•.(1),set pf Energy Forms;'R;0=51V Rerrriit for new:construction,.. <br /> IVltriimum ten•(10) itarking':'days'afteh subniiftai elate: Rei(uireF!onslte;`Gonsti iciion Plans,StdrMWater Plant. Silt Fence installed, <br /> Sanitary.Facilities kj.:dumpster;Sitb Wdek�Permit�forsubdivi'sions/large"prdjbets" <br /> COMMERCIAL Attach(2)complete,sets•of.,Building•Plans,-plus•a�Lifei:$afety'.P.Igo,(7:)'sbfof Energy.Fo�ms.R=O=W Permit for,new construction. <br /> Minimum ten(10)anrorking days aftersubmittat tipte, Regujred=pnsita;Constructton•Plarlss;Stormwater Ptans"w/Sitt'Fence-installed, <br /> Sanitary Fabliities&1 dunipiO."Slfe'1 oil Permff for Afnew projects.All commerclal.requirements must meet compliance <br /> SIGN PERMIT Attach(2),sets of Engineered;Plans. <br /> **'*PROPERTY,$.U'RVE-'?'.trequife'd for all'NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner.B,:Contractor sign.back of application,notarized <br /> ,If over$2906,a Notice of.Comm'encement Is required. (A/C upgrades.over$7500) <br /> Agent(for the contractor,)or.Power•of Attorney;(for the owner).would be someone with notarized-letter from-owner authorizing same <br /> OVER.THE COUNTER.,PARMITTING _ (copy;of•contract.required) <br /> Remofs if shingles Sewers Service Upgrades,A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if an public roadways..needs ROW <br />