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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> 0 <br /> Date Received <br /> Phone Contact for Permitting <br /> Owner's.Name Owner Phone Number <br /> �r.-,.:Ownees Address Owner Phone.Number <br /> Owner Phone Number <br /> G <br /> h . s <br /> f JOB ADDRESS' --LOT# <br /> SUBDIVISION PARCEL!D# <br /> (OB.TAINEO=EROM,P.ROPER•T:Y TAX,140T10E). <br /> -WORK PROPOSED NEW CONSTR ADD/ALT [_� SIGN 0. _ ';DEMOLISH" <br /> e INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME STEEL 0 <br /> DESCRIPTION OF,WORK <br /> BUILDING SIZE SQ•FOOTAGE= HEIGHT: <br /> =BUILDINO $ VALUATION OPTOTAL CONSTRUCTION' <br /> =EL'ECTRiCAL $ AMP'SERVICE Q DUKE ENERGY' W.-R.E.C. <br /> =PLUMBING <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS 0 ROOFING Q_. SPECIALTY" = OTHER <br /> FINISHED FLOOR ELEVATIONS � ".FLOOD'20NE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN . Y•/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED" if/"N FEE CURREN Y N <br /> Address , License#. <br /> PLUMBER r� COMPANY <br /> SIGNATURE .REGISTERED Y%-N I FEE CURREN <br /> Address License.# 17-1 <br /> MECHANICAL •,.;' -COMPANY }. <br /> SIGNATURE' REGISTERED Y/ N I FEE CURREN LY/-N, <br /> Address License-#..f. <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y I,•N,,,., :•. FEE CU(R'R'EEN <br /> ,Address License <br /> 4 <br /> RESIDENTIAL AttaGFi_(2)-Plot'0lans;('218e'is of*'i uil'I.* 'Plans;,(1)'oet,of Ehergy.Forrns;'R4O'-W Permit for new onstruction,: <br /> =.Mlfiimum•ten•(-10).working dbys'affersubnilital.tfate:* Plan <br /> Rei aired onsite;'Gonstnictiori s,Storrriv Af4f Plans'in+l Silt Fence installed, <br /> Sanitary:Facilities&,•,ladumpster;Stte Work.Permit-fbrsubdivisions/large-prdjects <br /> COMMERCIAL Attach(2)complete.sets•of:Building•Plans,-plus-a.,LifQ,Safety,Page;(1=).set"oftEnergy.Forms.R=O-W Permitfdr-new construction. <br /> Minimum ten('t0)•,wgrking;d y�s;aftersubrtiittal da#e..required=onsita;Construction•.Piapsl,Stormwater•Plans'w/SiltFence•installed, <br /> Sanitary Facilities&1 dUr ipM,Sife'tNark Permit for al!`new projects.All commerclai.requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered:Plans; <br /> ****PROPERTY$,U VEY•'required for all'NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner,&Contraetor sigrt.back of;.aaplication,notarized <br /> •if oven a250p,a Notice of.Comnwncement is required. (AIC 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,PERMITTING (copy.;'of contraot,requ(red) <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 />