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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 /> Ownees.Name Owner Phone Number <br /> ;�.,•Owner's Address Owner Phone. <br /> �— Owner Phone Number <br /> ri <br /> ji. JOB ADDRESS LOT# �u <br /> SUBDIVISION b��[t � � PARCEL ID# <br /> (OBTAINED:FROM>P.ROPERTY TAX 140TICE). <br /> WORK PROPOSED NECON$TR . . ADD/ALT. SIGN 0. Q -DEMOLISH <br /> ' <br /> eW�INSTALL . REPAIR <br /> PROPOSED USE Q SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK ;Q FRAME STEEL Q <br /> DESCRIPTION OF.WORK <br /> .BUILDING SIZE SQ•FOOTAG �----� .HEIGHT,•�___- ; <br /> BUILDING $ <br /> VALUATION OPTOTAI CONSTRUCTION, <br /> i <br /> =ELECTRICAL $ AMP'SERVICE Q DUKE ENERGY- 0 W.R.E.C. <br /> =PLUMBING r$' <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> [ GAS ROOFING Q: SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA YES NO <br /> BUILDER COMPANY <br /> SIGNATURE ' REGISTERED- Y/ N FEE CURRRREN . Y•/N <br /> Address License# i <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED' Y'/,:N FEE CURREN Y 1 N <br /> Address , license# �� I <br /> PLUMBER f r COMPANY C S e <br /> SIGNATURE REGISTERED I Y7-N I FEECURRER <br /> Address- License.# � I <br /> MECHANICAL .::; 'COMPANY- <br /> SIGNATUR1F REGISTERED Y/ N_J FEE CURREN, Y/"N.J. <br /> Address V License#f �: 1 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED YL. N,,:, FEE CURREN .• Y.:•''/;N.•, <br /> .Address license# <br /> x <br /> RESIDENTIAL Attacti{2)Piot'PI'ari5;(2}sets of'�uildirig'Flars;..(1).set!of.Energy.l=orins;R.t=VIJPerrriil far new construc8on,, <br /> IVlifiirnum•ten(30}:iNariiing days'afteF'submlftal date Req,red onsite;'ConsCructiori Piens,Sto'rm7�ialer Plans:w%Silt Ferice installed, <br /> Sanitaryfaciiities&1.edumpster;�Site Work-Perm! for6UbdivIisions/large-prdjects, <br /> COMMERCIAL Attach(2)complete,sets•of.BuildiDg•Plans,-plus,a>Life:Safet)Page;(1�).set of,Energy,,Forms.R-O-W Permit fornew construction. <br /> Minimum ten(10)anrgrkingwdays aft_ersubmittal date;,Required�onsite;Construption•Ptansti;Stormwater Plans'w/Silt'Fence installed, <br /> Sanitary Facilities&7 dump'aier.Sit�e�lilork Permiffor ali'new projects.All'commercial,requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets-of Engineered;Plans. <br /> ""PROPERTY•SURVEY'required for all NEW cbnstruction. <br /> Directions: <br /> Fill out application completely. <br /> Owner:&•Contractor sign.back of application,notarized <br /> 'If over'$25(!0,a Notice of'Commencernent is required. (A/C upgrades over$7800) <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.--PERMITTING - (copy;of contract,required) <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 />