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813-780-0020 City of Zephyrhills Permit Application Fax 813-Tao-002 <br /> „ Building Department <br /> Date Received <br /> Phone Contact for Permitting <br /> Ownees'.Name Owner Phone Number <br /> Y. <br /> F:.,.Owners Address Owner Phone•Number <br /> Owner Phone Number- <br /> JOB ADDRESS` •.LOT# (� <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINEDFROM.RROP.ERTYTAX.N Icq, <br /> WORK PROPOSED NECONSTil ADD/ALT [� SIGN* C] ( DEMOLISH' <br /> W� <br /> INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR 0 COMM C�• OTHER <br /> TYPE OF CONS?RUtTION BLOCK 0 FRAME C] STEEL Q <br /> DESCRIPTION OF.WORK <br /> BUILDING SIZE •� SQ•FOOTAGE.,= :HEIGHT, <br /> F <br /> j =BUILDING $ VALUATION OF'TOTAL"CONSTRUCTION, <br /> =.ELECTRICAL '1$ AMP'SERVICE 0 DUKE ENERGY' = W.R;E.C. <br /> =PLUMBING $` <br /> =MECHANICAL $• VALUATION,OF MECHANICAL INSTALLATION <br /> =GAS 0 ROOFING 0; SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS -,BLOOD-ZONE AREA L�]YES' NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y i N FEE CURREN . Y/N <br /> Address 7 License# F - <br /> ELECTRICIAN- COMPANY <br /> SIGNATURE REGISTERED. 'Y'/':N FEE CURRE!, <br /> Address , License# ^� <br /> PLUMBER 'j` COMPANY <br /> SIGNATURE - REGIS FERED Y7-N FEE CU(RF�2Et•` <br /> Address License.# I <br /> MECHANICAL ,.; -COMPANY s. <br /> SIGNATURE„ REGISTERED Y/ N I FEE CURREN Y PN <br /> Address License <br /> OTHER GQMPANY <br /> SIGNATURE REGISTERED Y�.lV,,,, ,.. FEE,CURREt • <br /> Address. License# <br /> 4 <br /> RESIDENTIAL" Attacir(2j'Plot'P.lags;(2)-$0s of Building:Piarifs;,.(1:)';s"et of Ene!<gy-Porms-'4--0*PermI(#'cir new_c.,nstruction,. . <br /> Minimum•teri<(d0).ihiorking.'d"ays'afteir`submittafilate,'Requi�er onsite;`Gonstrtict+on Plans,Stormi�"ra(er'Plans w%Siit Felice insfalled, <br /> Sanitary:Facillties k4; dumpster,Site Work+Permit=for,tflbd!vi'sions/taige•projects <br /> COMMERCIAL Attach(Z)complete,sets of..Bulldirag Plans-plus asLifei, afLety6P.age;'(1:)'.set'oflEnergy;Fo'rms.R 0=W Permit fdr:new canstruatlan. <br /> Minimum ten.(1Q)workingpd ys aftersubrriftta!date;.Requ)red,-pnslte;Constructlon•.R)arassS!ormwater Plans w/Sllt'Fenee installed, <br /> Sanitary Fadilit+es&1 dunipster.5lte'V ork Periniffor a'If`new projects.Alf commerclaisequirements must meet compliance <br /> SIGN PERMIT Attach(2),sets of Engineered:Plansr <br /> "*"*PROPERTY,SU'F2VE'Y•'required for all'NEW codstruction. <br /> ,.. <br /> Directions: <br /> Fill out application completely. <br /> Own6r,8 Contractor sign.back of•application,notarized <br /> 'if over$250t),a Notice of`Commencement Is required. (AIC 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 /> OVER THE COUNTER.AERMITTING - (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 />