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1 813-780-0020 City of Zephyrhills Permit Application Fax 813-780-002 <br /> Building Department <br /> ( <br /> gate Received :Phone Contact for Permitting <br /> Owner's•Name Owner Phone Number <br /> ' ;;.Owner's Address Owner Phone.Number <br /> Owner Phone Number10 <br /> JOB ADDRESS' ..LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OH.TAINED EROM.P.ROP.ERTY FAR TICS). <br /> WORK PROPOSED NEWCONSTR, ADD/ALT � SIGN �}' Q -DEMOLISH: <br /> e INSTALL 8 REPAIR <br /> PROPOSED USE SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK Q FRAME STEEL [� <br /> DESCRIPTION OF.WORK <br /> BUILDING SIZE .� SQ-$OOTAGE= :HEIGHT. <br /> BUILDING $ <br /> VALUATION OF'TOTAC CONSTRUCTION <br /> i • <br /> =ELECTRICAL $. AMP'SERVICE Q DUKE ENERGY' Q W.R:E.C. <br /> OPLUMBIIVG <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING [„� SPECIALTY [= OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD-.ZONE AREA YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN . Y•/N <br /> Addres's License# <br /> s <br /> ELECTRICIAN. COMPANY <br /> SIGNATURE REGISTERED' FEE CURREl` Y l N <br /> Address , License# <br /> PLUMBER .,r COMPANY <br /> SIGNATURE ,REGISTERED Y"l N FEE CURREN <br /> Address License.# F, <br /> MECHANICAL .:;' 'COMPANY ;. <br /> SIGNATURE' REGISTERED Y/ N -FEE CURREM1 Y/N• ' <br /> Address Ltgense,#J77 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y'/,N,,,, , FEE,CURREh• .. Y.!/';N,, <br /> Address License# <br /> RESIDENTIAL Attach{2)wPlofP.lags;(2)'sets•bf'Kutiding:P(aft,,(1);set:of Ehergy Forms;'R,O!'.,.prmi far anew construction <br /> Minimum•terti:('O)-Warking•.'d'ays iafteF subniifkai'°date:i`i'tegi i'rW onsite,`Gonstri ctiah•Pieria,S6 fer Plans 4 Sift Fence insfall ed, <br /> Sanitary:Facilities k44 dumpsterf;Slte Work:.Perrhi fors tbdivi'sions/latge-prdjects" <br /> COMMERCIAL Attach(2).complete.sets•Qf.Bullding•Plansiplus-a.gLife$afety'Page,(1)'.set'of1Energy.Forms.R-O=W Permit for,;new construction. <br /> Minimum ten(1Q),wgrking,d yes after,sub riittai da#e..Requ,ed=gnsite;Construction-Ptartsi,Stormwater.Plans w!Silt`Fence installetl, <br /> Sanitary Fadilitaes&1 dunipste'r:Site'ik Perm ffor ait'new projects.All commerciai.requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets-of Engipeereri:Plans;. <br /> ****PROPER7Y•$URVEY.'requifetl for all'NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Ownbt.&:Contractor sign,back of::application,notarized <br /> 'if over$igbol a Notice of_t;ommegcement is required. (A/C upgrades.aver$7500) <br /> *' Agent(for the contractor.)or.Power.of:Attomey,(ter the owner)would be someonerwith notedzed-letter from-owner authorizing same <br /> OVER THE COUNTER,P.ERMITTING -- (copy,•'of�coritract required) <br /> Reroofs if siiingtes Sewers Service Upgrades-A/C Fences(PlottSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />