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813-780-0020 <br /> City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> i <br /> Date Received Phone Contact for Permittin <br /> Owner's.Mama Owner Phone Number <br /> ,.,.vpwneeS Address Owner Phone.Number <br /> Owner Phone Number <br /> - d <br /> JOB ADDRESS' -.LOT# Z� <br /> SUBDIVISION Pat p 'L 1A � PARCEL ID# <br /> (08TAINED'=0R0M.PR0PERTY TAX <br /> NOTICE): <br /> WDRK PROPOSED NEW-CONSTR ADD/ALT SIGN DEMOLISH' <br /> R INSTALL El. REPAIR <br /> PROPOSED USE, 0 SFR Q . COMM �_ OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK 0' FRAME ' STEEL 0 <br /> i <br /> DESCRIPTION OF WORK <br /> j <br /> BUILDING. , GE; , .HEIGHT <br /> f SIZE SQ•FOO'rA � <br /> n13UILDING $ VALUATION OF`TOTAL CONSTRUCTION' <br /> i <br /> , <br /> =ELECTRICAL $ AMP'SERViCE Q DUKE ENERGY' 0 KR:E.C. <br /> =PLUMBING $' <br /> =MECHANICAL $• VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS -fL'OOD20NE AREA. [ YES . NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN . Y•/N <br /> Address License# �- <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED' Y"/"'N FEE CURREN <br /> Address , License# +' <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN 'Y'/N"' <br /> Address. License# �- <br /> MECHANICAL .:, _.COMPANY ,.. <br /> SIGNATURE': REGISTERED Y/ N FEE CURREN Y/-'N " <br /> 71 Address;. License#. <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED "Y/, N,,,.; .. FEE CURRE.N:_ L <br /> Address License# <br /> RESIDENTIAL Attactf(Z)-PIotPfans,(2)=sets"'of Bplii9irig'Pl ris;.(!).set.ofEhergyFowns;``k-'bw tit'0ermItforneW:ponstruction, <br /> r M!nii iumlten-(16)•working:days"afEeesub6(ttai" ater�-kii4dired'onsite;-Cohstr`ucU66 Plans; ti6m4water Plans-4 Silt Fence installed, <br /> Sanitary-Facilities kt-dumpster„Site,Work�PermlEfdr subdiv!slons/large�prdjects <br /> COMMERCIAL Attach(2)complete,sets af:Buiiding Plans,plus-:a�Life;$afety,Page;{1:).set of Energy•Farms.R-OV Permit focnew.constructlon. <br /> Minimum ten:(1.0)warking,daigs aftersubmitta(dote;Required onsite;Construction.Plens�Stonnwater Plans=w/SilYFence installed; <br /> Sanitary Facilities&1 dumpster.Sife iNdrk'Perintt for a!I'new projects.All commerclalrequirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered:Plans. <br /> """"PROPERTY.S..URVE-Y required for all'NEW;ooristruction. <br /> QXQ <br /> Directions: <br /> Fill out application completely. <br /> Owner.&:Contactor sign. <br /> back of application,notarized <br /> 'if over$2500,a Notice of'Camrriencement is required. (A/C upgrades.over$7500) <br /> ' ,r.. <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,P.SRMITTING •- (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 />