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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> r Date Received Phone Contact for Permitting <br /> Owner's.Name Owner Phone Number <br /> F;. Owner's Address Owner Phone.Number <br /> Owner Phone Number <br /> ��. JOB ADDRESS'. LOT# <br /> SUBDIVISION C) PARCEL ID# <br /> (OBTAINED,4`FROM:P.ROP.E0TY TAX.NOTICE)•. <br /> WORK PROPOSED NEWCONSTR AD En 'D/ALT SIGN = ;DEMOLISH <br /> e INSTALL . REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER 7777777 <br /> TYPE OF CONSTRUCTION Q BLOCK = FRAME STEEL, 0 <br /> DESCRIPTION OF WORK <br /> .BUILDING SIZE SQ•FOOTAGE;= HEIGHT: <br /> ? =BUILDING $ VALUATION OF"TOTAC CONSTRUCTION" <br /> j <br /> =.ELECTRICAL $ AMP'SERVICE 0 DUKE ENERGY' W ME.C. <br /> =PLUMBING <br /> =MECHANICAL $• VALUATION OF MECHANICAL.INSTALLATION <br /> =GAS 0 ROOFING Q SPECIALTY. � OTHER <br /> FINISHED FLOOR ELEVATIONS r FLOOD 20NE AREA YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Ljj _Nj FEE CURREP . <br /> Address License# 1 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED' Y"/�N FEE CURREN . Y Z N <br /> Address., 'License#f <br /> PLUMBER COMPANY LR�f"1 r /^. <br /> SIGNATURE •REGISTERED Y I=N FEE CURREN <br /> � <br /> Address License.# l <br /> MECHANICAL COMPANY <br /> SIGNATURE' REGISTERED Y/ N FEE CURREN. <br /> Address License#., _ <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I `Y Z•N, FEE CURREN ' Y`.`/;N•., <br /> Address License# <br /> ;.. <br /> 4 -1s. <br /> RESIDENTIAL Attach{2)'Piot"Plans;(2)'-sets of'�uiiding-Piatti ;,(1)",set Af E►iergyi Forms;`R-70 Vtl;Permit,for new,cpnstruction,. <br /> .Ml it dm•ten:(10).working:'days'diter`subrriIttai--akes'Rec("iced onsite;'Cb`nsiiucfiori Ptarss,Storrrivra er Pians $iit Fence installed, <br /> Sanitary:Facilitles&1;dumpster,,Sit'e Wdrk!Pen»it;fbrsUbdlvisicns/large•prdjects" <br /> COMMERCIAL Attach(Z).complete,sets.of:Building•Plans.-plus•a:LifeFSafety,Page.(1).setaf1Energy,Forms.R-O-W Permit fdr,.-newconstruction. <br /> Minimum ten,(10),Wgrkingadays after ubniittat date..Required!Qnsite;Construption•.Plansi•;Stormwater,Plans'w/Silt`Fence installed, <br /> Sanitary Facilities&1 dunipster:Slte'llVdrk'Permit for ail'new projects.All commerciai.requirements must meet compliance <br /> SIGN PERMIT Attach Q),sets of Engineered;Plans. <br /> *'**PROPERTY•$URVE*!'requit,id for all'NEW construction. <br /> Directions: <br /> Fill out appltcaticn completely. <br /> Owner., <br /> &•Contractor sign.back of ' <br /> a piication,notarized <br /> 'If over$2W,a Notice of'Commeg6itment is required. (AIC upgrades over$7500) <br /> " Agent(for the contractor,)or.Power.of;Attomgy;(for the owner)would be someone:•with notarized-letter from-owner authorizing"same <br /> OVER THE COUNTER:PERMITTING -• (copY of contract required) <br /> Reroofs if shingies Sewers Service Upgrades•A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />