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_813-780-0020 City of Zephyrhills Permit Application Fax 813-780-00 <br /> Building Department <br /> Date Repeived <br /> Phone Contact for Permitting <br /> Owner's.Name Owner Phone Number <br /> .:;. Ownlar's Address Owner Phone Number <br /> Owner Phone Number I �� <br /> ``. JOB ADDRESS' LOT# eI S <br /> i SUBDIVISION arK- �12�-yr''L PARCEL ID# <br /> —_-,r ' V (013.TAINEDFROM.P.ROPERTYTAXAbTICE): <br /> WORK PROPOSED e I IEW-CONSTR ADD/ALT [� SIGN �. [� DEMOLISH'INSTALL H REPAIR <br /> PROPOSED USE. Q SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME STEEL = <br /> DESCRIPTION OF.WORK <br /> .BUILDING SIZE MFOOTAGE, HEIGHT <br /> =BUtLDtNG $ VALUATION OF,TOTAL CONSTRUCTION, <br /> i <br /> =ELECTRICAL $ AMP'SERVICE 0 DUKE ENERGY' W.R.E.C. <br /> =PLUMBING <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING [�„ SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLO.O112ONE•AREA =YES . 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 LY/N <br /> Address . License#F <br /> PLUMBER COMPANY <br /> SIGNATURE z .REGISTERED Y/=N FEE CURREN ' <br /> Address License.# i <br /> MECHANICAL .:.; -COMPANY <br /> SIGNATURE` REGISTERED Y/ N I FEE CURREh Y/N. <br /> Address 7771 License•#._ , <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y%,•N,.....: :.. FEE,CU(RR'ER`.. Y'/.N•,- <br /> Address License# <br /> RESIDENTIAL 4EtacH( }. Iat Pleris;.{2�'seis af`Bu'il'ding'i?lar s;.(1j.set ofE►iergy Forms;'WOj tJV Rerrrii-for new construction <br /> Nlitiithum:teri-(3O):working hays aftei stibrriiftai date.,,R64 lit onsite,"bonstMctiori Pia s,Siormuvater Plans Silt Felice installed, <br /> Sanitary.Facilittes&,J1 dumpster;,Site Work:.PermittforsUbdivtstons/large-projects, <br /> COMMERCIAL Attach(2)complete,setssof.:Building-Piansrplus•a,LifeiSafety,:Page,(1.)set ofEnergy,.Forms.R-O W Permit for.:new construction. <br /> Minimum ten(19)tiwgrking3dayps after',.,ubmittat date,.Requiredonsite;Construction.Plans,Stormwater,Plans•w/Silt Fence installed, <br /> Sanitary Facilities&1 durripsfe`r`:Sife�lifoik Perini£for alt'new projects.All cammercial.requirementsmusI meet compliance <br /> SIGN PERMIT Attach{2)sets of Engineered Plans: <br /> ****PROPERTY%!•N&Y.required for all,NEW oolistruction. <br /> Directions: <br /> Fill out application completely. <br /> Ownar..&:Contractor. sign.back of,.application,notarized <br /> 'if over$25011,a Notice of_Commerfcem®nt is required. (A/C upgrades.over$7500) <br /> " Agent(for the contractor,)or.Power.of Attorney.,(for the owner).woutd be someone:with notarized-letter from owner authorizing same <br /> OVER THE COUNTER=PERMITTING - (Copy'of contraet required) <br /> Reroofs if shIngtes Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Nat over Counter if on public roadways..needs ROW <br />