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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> V <br /> Date Received Phone Contact for Permitting <br /> i <br /> Owner's.Name Owner Phone Number <br /> F:.:Ownera Address Owner Phone-Number �— <br /> Owner Phone Number �— <br /> �. JOB ADDRESS # <br /> SUBDIVISION � � PARCEL ID# <br /> . <br /> (OB.TAINED FROM.P.ROPERT.Y TAX,NOTICE) <br /> WORK PROPOSED NE•WCONST•R ADD/ALT. SIGN [� [� ,DEMOLISH' <br /> e INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR 0 COMM Q OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME E:n STEEL _ [� <br /> DESCRIPTION OF.WORK <br /> .BUILDING SIZE F SQ-FOOTAGE:= HEIGHT: <br /> BUILDING $ VALUATION OF'TOTAL CONSTRUCTION' <br /> i <br /> =.ELECTRICAL $. AMP'SERVICE Q DUKE ENERGY" = W.R:E.C. <br /> =PLUMBING $' <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING �; SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS PLO.OD-ZONE AREA =YES NO <br /> HIIIHIIIIIHI <br /> BUILDER COMPANY <br /> SIGNATURE ' REGISTERED Y/ N FEE CURREN <br /> Address License# 1 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED' Y'/-N FEE CURREN <br /> Address . License <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y%=N FEE CURREN <br /> Address License.# F <br /> MECHANICAL .:;' -COMPANY <br /> SIGNATURE' REGISTERED Y/ N FEE CURREN Y 1'N. <br /> r <br /> Address License4], <br /> OTHER. CQM,PANY <br /> SIGNATURE REGISTERED Y/,N,,,, FEECU(R'RRE�N. <br /> Address License# !. <br /> k <br /> RESIDENTIAL Attach t2j'Plat"Plan's;(2t-Sets of'juiiding-PIarts;,(1)",0,et Af Energy-Form's;'R40=W Rremilt for new,construction,..' <br /> :iVlitiErz�t7m•teri,(10)working itajrs'aftehsubrriittaf°date.'itei cite i orisite;Gonstii5ciGo Ptarrs,Siormwafe`r`Plans-uv%Sift Fence installed, <br /> Sanitary:Facilities 8,,1Aumpster;Site Wdrkftrmit=for sUbdivi'sfonsllarge•prdjects- <br /> COMMERCIAL Attach(2)complete,sets,of.:Buildsn.g•Plansplus••a�L•ife.Sefety'.Page;(1.'ysetof1Energy.Foams.R-O-WPermitfdr.newconstruction. <br /> Minimum ten,(1 t}) rgrkirtgWdays ai#er submittal Mate.,required,onsite;Construction.Plans,;Storm ter Plans�w/Silt'Fence•installed, <br /> Sanitary Fadl itres&1 dun1pster.Site'i�Vark Permiffor a!I'new projects.Ail commerciai.requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered'Plans. <br /> ****PROPERTY S.l)�I`tVi=Y required for aft NEW construction. <br /> ---------------- <br /> Directions: <br /> Fitt out application camptetely. <br /> Ownar•&Contractor Sigtt.baCk of appiieation,notarized <br /> if over$25l)0.a Notice of Comriier)cement is required. (AIC 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:P.ERMITTING -- (copy;•of contract required) <br /> Reroofs if shingies Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />