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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 /> Owns <br /> r's.Name Owner Phone Number <br /> ` •Owner's Address Owner Phone Number <br /> Owner Phone Number t �� <br /> �j <br /> �. JOB ADDRESS' - LOT# �— <br /> SUBDIVISION Part h � PARCEL ID# <br /> (OB.TAINEM�FROMIP.ROPERTY TAX.NQTICE) <br /> WORK PROPOSED NEW C0N$TR ADD/ALT SIGN = 0 •DEMOLISH <br /> e INSTALL 8 REPAIR <br /> PROPOSED USE. Q SFR = COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK 0 FRAME - STEEL = <br /> DESCRIPTION OF WORK <br /> .BUILDING SIZE SQ-FOOTAGE:= -.HEIGHT - <br /> j =BUILDING $ 7 <br /> VALUATION OF'TOTAL CONSTRUCTION' <br /> i <br /> =•ELECTRICAL $ AMP'SERVlCE DUKE ENERGY' W.R.E.C. <br /> =PLUMBING $` <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING Q_ SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS77 FLO.OD'ZONE'AREA =YES . NO <br /> HIIIIHIIIHH 1*114 111 1 il!+�I 11 1q I!-I I I 111 111!,111 5 111111111111111 11 H I I <br /> BUILDER COMPANY <br /> SIGNATURE '' REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> ELECTRICIAN- COMPANY <br /> SIGNATURE ..REGISTERED* Y/,.,N FEE CURREN Y/.N <br /> Address . License#-F '�� <br /> PLUMBER COMPANY <br /> SIGNATURE ,REGISTERED Y!-N FEE CURREN <br /> Address License.# C • <br /> MECHANICAL .,;' 'COMPANY <br /> SIGNATURE` REGISTERED Y/ N FEE CURREN Lj /N <br /> r <br /> Address LtcenSe•#.] _.�� <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Yi.N,.,.. :.• FEE,CURRER; <br /> Address License# ). <br /> RESIDENTIAL Attach'(2} Iot Pians;.{2')'eWs of Building?. l96s;,(1)'set,of Energy Forms;'R." HIV Perr iit for new:constructiom, <br /> ..Min'i lium-.teri-(10):working.`days aftetsubrriittat dater'Regt iretl onsite;'Gonstr ctioif Plans,3formwate'r Ptarrs wl Silt Fence installed, <br /> Sanitary:Facilities k1,.dumpsterf Slte WorkRermit16rs6bdivWons/large•projects <br /> COMMERCIAL Attach(2).comp <br /> lete.sets•of..Building•Plans plus•a,LifeiSafety..Page;(1).Set oUEnergy.Forms.R-0=W Permit for.,new construction. <br /> Minimum ten(10)augrking;dgys,aftersubmittaI date..Repuiredtonsite;ConstrucGon•Pians;Stormwater•Plans w!Si1t Fence"instatied, <br /> Sanitary Facilities&1 d4nlpster.Srt`e'V11ork•Perinilf for ali'new projects.All commereiai.re'quirements must meet compliance <br /> SIGN PERMIT Attach(2)'sets of Engineered;Plans: <br /> **'*PROPERTY$.l1RVEY•iequireti for all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner;&:Contractor sign.back of ap(}tication,notarized <br /> 'If over 52501i.a Notice of.Commencem®nt is required. (A/C upgrades over$7600) <br /> Agent(for the contractor)or.Power,of•Attorney,(for the owner).would be someonewith notarized4etter from owner authorizing same <br /> OVER.THE 000NTER,P..ERMITTING (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 />