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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> oSo. <br /> Date Received .Phone Contact for Permitting <br /> Owner's.Name Owner Phone Number <br /> i =:.•:Owner's Address Owner Phone.Number <br /> Owner Phone Number <br /> JOB ADDRESS' ..LOT# <br /> UBDIVISION PARCEL ID# <br /> (OHTAINEWFROM<PROPERTY TAX,NQTICE). <br /> WORK PROPOSED NEW"CONSTR ADWALT �� SIGN 0. Q °DEMOLISH' <br /> INSTALL 8• REPAIR <br /> PROPOSED USE 0' SFR COMM �, OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL Q <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ•FOOTAGS.= ••HEIGHT. <br /> =BUILDING $ VALUATION OF-TOTAL CONSTRUCTION- <br /> i <br /> =EL"ECTRICAL $ AMP'SERVICE 0 DUKE ENERGY' Q W.R.E.C. <br /> =PLUMBING �� • <br /> =MECHANICAL L..� VALUATION OF MECHANICAL INSTALLATION <br /> =GAS 0 ROOFING [�; SPECIALTY F-1 OTHER <br /> FINISHED FLOOR ELEVATIONS .FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED YIN J FEE CUR'RREI% Y./N <br /> Address ( <br /> s License# r I <br /> ELECTRICIAN- COMPANY <br /> SIGNATURE REGISTEREb* Y/'!N FEE CU(RR�EIS Y�%N <br /> Address . -License# <br /> PLUMBER ' COMPANY C r <br /> SIGNATURE .REGISTERED Y 7-N FEE CURREA <br /> Address L7cense.# I <br /> MECHANICAL COMPANY �. <br /> SIGNATURE" REGISTERED Y/ N FEE CURREP <br /> - r • <br /> Address License"#T - <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/.•N>,,, FEE,CURRE�- Y/;N.•. <br /> Address License# <br /> RESIDENTIAL: Attach(2)Plot Pf'ags;(2)'-aets-ofBuiiding'Prans;..(1)`spt,of Energy.Oorms;`R-'O-W;Rermlty for nemoonstruction. <br /> rulnfr'num'ten•(1`0):working:'days'ditet`submiW;dite:�`Requfred onsite;`Constiuctiori Plans,8iorrriwater Plans uv%Sit Fehce installed, <br /> Sanitary:Facilities&1�dumpster;Site Woik.Permit=forsubdivi'sions/iarge•projects <br /> COMMERCIAL Attach(2)completesets af.,Buiidfng Plans pius•a1Ife;Safety�Page;(1,)'.set of Energy.Forms.R-O=W Permit for new construction. <br /> Minimum ten.(10)•a+,vgrking,dayst tatter submittal date.,Required onsite;Construction-Rlagl Stormwater Plans'w/Sift`Fence installed, <br /> Sanitary Facilities&1 durripster.Sife'Work Permik for ail new projects.All commercial.requirements must meet compliance <br /> SIGN PERMIT Attach(2);sets of Engineered Plans•: <br /> ""PROPERTY.SURVEY•iequired for all'NEW coristrucUon. <br /> Directions: <br /> Fill out application completely, <br /> Owner:&Contractor sign:back of:,aQpiication,notarized <br /> 'If over$25110,a Notice of'Commencement is required. (A/C upgrades aver$7600) <br /> Agent(for the contractor,)or.Power-of'Attorney,(for the ownO).would be someone.with notanzefletter from-owner authorizing same <br /> OVER THE COUNTER:PER2MIT.TING -- (copy;•of contract,required) <br /> Reroofs if shingles Sewers Service Upgrades-A/C Fences(Plot/Survey/Footage) <br /> Driveways-Nat over Counter if on public roadways..needs ROW <br />