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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 /> Owner's.Name Owner Phone Number <br /> ..Owners Address Owner Phone-Number' <br /> Owner Phone Number <br /> JOB ADDRESS' LOT# 3 <br /> SUBDIVISION �1 . % PARCEL ID# <br /> (OBTAINED'FROM.PROPERTY TAX:NNR) <br /> WORK PROPOSED e NEW CONSTR ADD/ALT. Q SIGN = Q ",DEMOLISH'INSTALL 8 REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL 0 <br /> DESCRIPTION OF WORK <br /> l .BUILDING SIZE SQ•FOOTAGE;= -HEIGHT. <br /> =BUILDING $ VALUATION OF,TOTAL CONSTRUCTION, <br /> i <br /> =.EL'ECTRICAL $ AMP'SERVICE = DUKE ENERGY' Q W.R.E.C. <br /> =PLUMBING $' <br /> =MECHANICAL $• VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING 0. SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA AYES NO <br /> BUILDER COMPANY <br /> SIGNATURE '" REGISTERED Y/ NJ FEE CURREA LLMIJ <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED' 1(/"N FEE CURREN Y Z N <br /> Address . License# <br /> PLUMBER ' COMPANY <br /> SIGNATURE -- ,REGISTERED Y% N <br /> Address License.# <br /> MECHANICAL .:;' COMPANY <br /> SIGNATURE' REGISTERED I Y/ N FEE CURREA Y/L N. • •. <br /> r <br /> Address Llceww#.. <br /> OTHER . COMPANY <br /> SIGNATURE REGISTERED -Y%,•N,,., FEE,CURREA• .• . Y..y.,R.•.. <br /> -Address License# <br /> RESIDENTIAL Aftacti l)-•Plot'PI•aris;(2)'$ets?of'Suildin 'Plans;."1 .sat.of Erie Foniis-'R=p=VU Pemjit for new:construction,. <br /> Miritmlym.ten.(� 0)Working-.1ft afEeh submittef ilite:1�Reduire'd nsite;`ConstructioWPlans,Stdrmwa(er Pifins w%Silt Fence installed, <br /> Sanitary:Facilitles tt`.:dumpster.'Ate Wdrk�Permit1br sutidivtsionsAarg6 prdjects <br /> COMMERCIAL Attach(2.)complete.sets•of•.Buiiding.Plans plus•a:Life;•$afetl*page;(1:).set"of,Energy".Fo'rms.R-O-W Permit for:new constructon. <br /> Minimum ten(10)allorktog,dq yp <br /> _jafter.ubmlttal date..R9quirgdtonsite;ConsVuction-Plansv;Stormwater Plans:w/Silt'Fence•installed, <br /> Sanitary Fadtliii s&1 dunipster:rbife'Gllork Permit for ali'new projects.All"commercial.requirements must meet compliance <br /> SIGN PERMIT Attach(2),sets of Engineered"Plans. <br /> ""PROPERTY•S.U'RVEY requifeii for all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> OwnerA.Contractor sign.back of••application,notarized <br /> 'If over$25011,a Notice of Commegcement is required. (A/C upgrades.over$7500) <br /> Agent(for the contractor,)or.Power.of•Attomey:ffor the owner)would be someone-with notarized--letter from-owner authorizing same <br /> OVER THE COUNTER•P2RMITTING - (oopy;'of contract requ(red) <br /> Reroofs if shingies Sewers Service Upgrades"A/C Fences(PlottSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />