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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department, <br /> 4 <br /> Date Received Phone Contact for Permitting <br /> Owner's.Name Owner Phone,Number <br /> ;:..:Owners Address Owner Pho no.Number" I <br /> �^ Owner Phone Number <br /> �. JOB ADDRESS' --LOT# t <br /> SUBDIVISION ��0 PARCEL ID# <br /> (OBTAINED,'FROM P"ROPERTYTAX:NQTICE) <br /> WORK PROPOSED IVEW�CONSTR ADD/ALT" [� SIGN ['I- Q ';DEMOLISH <br /> e INSTALL 8. REPAIR <br /> PROPOSED USE SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION C] BLOCK "0 FRAME En STEEL Q <br /> DESCRIPTION OF WORK <br /> .BUILDING SIZE � � SQ'FOOTAGE;= HEIGHT-,] <br /> QBUlLDiN)G $ " VALUATION OF'TOTAL CONSTRUCTION' <br /> i <br /> =ELECTRICAL $ AWSERVICE Q DUKE ENERGY' Q W.R.E.C. <br /> _7 QPLUMBING <br /> =MECHANICAL $• VALUATION OF MECHANICAL INSTALLATION <br /> --7 <br /> [ GAS Q ROOFING 0; SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA LDYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N j FEE CURREM1 <br /> _71 . <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y'/'.'N FEE CURREN Y Z N <br /> Address . License# —� <br /> PLUMBER _—� COMPANY <br /> SIGNATURE REGISTERED Y% NI I FEE CURREM1 <br /> Address License"# �"� ^�— <br /> " <br /> MECHANICAL .... COMPANY <br /> SIGNATURE' REGISTERED Y/ N FEE CURREM1 Y/T N. ' <br /> Address 71 License•#._J <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y./,N,,.: '.. FEE,CUIR'R'EER: ... <br /> Address License# <br /> REStDENTtAI. Aktach-(2}Piot'Piaris;(2)1sets of'F(uiicling'P(atris;,(1).$et.gf Energy Fonhs;'R 0=1N Kermit for new.construction.. <br /> Nlltiiinum•teri.(10)working':`days'afEet'subrr�ittai`°date. `Regtirei onsite,'Conslnictiort Plans,Stoniiwater Plans vaT Stt Felice installed, <br /> Sanitary:Facilittes&4 dumpsterf,„Sit'e Wdrk�Perrimit=fbrsClbdividons/latge-prdjects" <br /> COMMERCIAL Attach(2)complete.setso#,Building•Plansrpius•a+Lif6Safety;Page;(1:)'set of Energy Forms.R-O W Permit for new construction. <br /> Minimum ten,(10),wgrking,deys after•pubmittal date..Required=pnsite;Construction-Pfanss,Stormwater Plans"w/SiltFence installed, <br /> Sanitary Facilities&1 dGmpster.Sife'GVork Perini'ffor al!"new projects.All commercial.requirements must meet compliance <br /> SIGN PERMIT Attach(2),:sets of Engineered;Plana-. <br /> *'PROPERTY-S.lirRVEY Tequired for all'NEW construction. <br /> Directions: <br /> Fill out application completely- <br /> Owner.' sign.back of,.application,notarized <br /> 'if over$26ft,a Notice bfCommencemant 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.,P2RMITTING -- (cgpy;'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 />