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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 /> 7777' <br /> Owner's.Name Owner Phone Number <br /> ..Owner's Address Owner Phone Number <br /> • Owner Phone Number, <br /> JOB ADDRESS. ••LOT# <br /> + ''SUBDIVISION 0at`K PARCEL ID# <br /> (OSTAiNEWFROM,PRORERTY TAxAD*Tidq <br /> WORK PROPOSED NEW�CON$TR, ADD/ALT [� SIGN [� Q ;DEMOLISH' <br /> e INSTALL 8 REPAIR <br /> PROPOSED USE, Q SFR Q COMM �" 'OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK [;] FRAME" STEEL Q <br /> "DESCRIPTION Of.WORK <br /> BUILDING SIZE SQ-FOOTAGE+;= -.HEIGHT :J ��.. <br /> l _ . <br /> =BUILDING $ VALUATION OF-TOTAL CONSTRUCTION' <br /> i <br /> i =EL•ECTRICAL $ AMP`SERVICE . 0 DUKE ENERGY' [^] W.R.E.C. <br /> =PLUMBING $` <br /> =MECHANICAL ($ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS [� ROOFING 0 SPEC,!.TM OTHER` <br /> FINISHED FLOOR ELEVATIONS FL-OAD;ZQNE-ARSA =YES . NO <br /> HHHHHHHH <br /> s,.. <br /> BUILDER ',' COMPANY <br /> SIGNATURE '' REGISTERED Y/ N FEE CURRENT <br /> Address License# F � <br /> ELECTRICIAN• COMPANY <br /> SIGNATURE REGISTERED' Y i'N FEE CURRB • ' ) /.N <br /> Address . License <br /> PLUMBER °f COMPANY <br /> SIGNATURE (�- r - REGISTERED" Y%-N FEECURREN . <br /> Address License.# `! <br /> MECHANICAL .r;' COMPANY <br /> SIGNATURE' REGISTERED Y/ N FEE CURREN <br /> Address License-#..+ <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED `Y%;N,,:.; , FEEGURRER. .. <br /> Address License# +� <br /> RESIDENTIAL AttacFi(2)=Piot Plaris,.(2)1sets'of Yuiidil,.Pli36s;,(1).set".of Ehergy Forrns;'R?-0,,w,Pemjit-for newrconstruction,, <br /> .Minimum ten:(70)working:`daps`affek subrriittat date:"Redtilred onsite;`Gons)i&ctiari Plans,Siormfirtaler Plaits:wJ Siit Fence installed, <br /> Sanitary:Facilitles 8`adumpsterf Slte Woik_Permit-forsubdivi'lions/large-prdjects' <br /> COMMERCIAL Attach(2)complete,sets.of,,Building•Plansiplus•akt»ife,Spfetyk.Page;(1:}'.setoPEnergyForms.R-O-W Permit for:new construction. <br /> Minimum ten(10):,wgrkin1dayk-a�ftet:sub�rrllttat.date..} equ redrQnsite;ConsUuction,Rlanss,Stormwater,Ptans•w/gilt�Fence.•instatied, <br /> Sanitary Fadilities&1 durIn Slfe Work'Permif for aA.,new projects.All commercial.requirements must meet compliance " <br /> SIGN PERMIT Attach(2)•sets of E"ngifteered,•Plans'. <br /> PROPERTY SRy'IVEY•'required for all'NEW ootlstruotlon. <br /> Directions: <br /> Fill out application completely. <br /> Owner:&:Contraetorslgn.backof,;aoplication,notanzed J <br /> 'If aver a25d0,a Notice of:Cammencement"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 /> OVERg.HE.COUNTER=PER,MITTING (copy;•ofContrabt�required) <br /> Reroofs if shingles sewers Service Upgra'dest A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />