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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department . <br /> Date Received Phone Contact for Permitting <br /> 1 <br /> ,-Ownees.Name Owner Phone Number <br /> ;_-:Owners Address Owner Phone-Number <br /> Owner Phone Number <br /> " JOB ADDRESS' -.LOT# <br /> SUBDIVISION L PARCEL ID# I <br /> (OB..TAINEO-FROM".PROPERTY TAX 140TICE). <br /> WORK PROPOSED NEW CON§TR ADD/ALT. SIGN = [ `:DEMOLISH <br /> e INSTALL 8 iiEPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION " •Q BLOCK 0 FRAME STEEL = <br /> DESCRIPTION OF.WORK <br /> .BUILDING SIZE .� SQ.FOOTAGE;= HEIGHT, <br /> 7 <br /> =BUILDING $ VALUATION OF -'TOTAL CONSTRUCTION' <br /> I <br /> =ELECTRICAL $ � AMP'SERVICE 0 DUKE ENERGY' C] W.R.E.C. <br /> =PLUMBING r$` <br /> =MECHANICAL VAL•LIATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING 0_ SPECIALTY, Q OTHER <br /> FINISHED FLOOR ELEVATIONS .FLO.O02ONE AREA MYES NO <br /> BUILDER COMPANY <br /> SIGNATURE ' REGISTERED Y/ N j FEE CURREN . Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED' Y/°N FEE CURREN Y N <br /> Address , •License <br /> PLUMBER 'r COMPANY <br /> SIGNATURE REGISTERED Y%-N FEE CURREN <br /> Address -License.# I' i� <br /> MECHANICAL ...;' COMPANY ,. <br /> SIGNATURE` REGISTERED Y/ N j FEE CURREN Lyl,N ' <br /> Address V License-#1 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/,N,,,.. ;,• FEE,CU(R'REN• .. YY`/.;N,.- <br /> Address License# <br /> RESiDENTIAt Attach{2)'Plot`Pians;(2)'-sets-of`dtuiidiog'Plaris;..(1)',set•ofEherQyForMsr'R;O=',WI' miit for new.construction,, <br /> Mihiinum.ten.{f 0);worklrig:'days'after`submi#tai=tlateui'retl onsite;'Gbnsta�cfiorl Plans,8tornil"e'r plans. Silt Fence installed, <br /> Sanitary:Facilities kj�dumpster;Site Wdrk�Permit�forsubdivi'sions/large•prdjscts• <br /> COMMERCIAL Attach(2)compietesets of,.Building Plans;plus a:Lif.. "' ty;Page;' setbf7Energy,Fo�ms.R-O-W Permit fdr,new construction. <br /> Minimum ten(10),workingvdayps after,s.,ubmittat date..Req''uired=ansite;Construction-Rlansy';Stormwater Plans'w/SiltPened installed, <br /> Sanitary Fadiiittes&1 dU'nil siiW`Si'i'"Work Perm'it`for ail'ne'w projects.All commerclal.requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered'Plans: <br /> '•'*PROPERTY$-U*Vg-Y.'required for all'NEW cbristruction. <br /> Directions: <br /> Fill out application completely. <br /> Owner:•$Contractor sign:back of aplicatioa,notarized <br /> If over$2500.a Notice'of.Commencement is required. (A/C upgrades.over$7500) <br /> Agent(for the contractor,)or.Power.of Attorney:(for the owner).would be someone:with notarized-fetter from-owner authorizing same <br /> OVER THECOUNTER!P.ERMITTING -• (copy;'of contrabt.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 />