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813-780-0020 City of Zephyrhills Permit Application Fax a13-Teo-0021 <br /> Building Department <br /> ` Date Received Phone Contact for Permitting <br /> r <br /> Owner's-Name Owner Phone Number <br /> =:...Owner's Address Owner Phone-Number <br /> Owner Phone Number <br /> + .JOB ADDRESS'. ..LOT# C5 <br /> SUBDIVISION abba r tjQ'&,Z+�f.�tTr_ ARCEL ID# <br /> (OBTAINED'zFROiZP•ROP.ERTY TAX-,bibTICE)•. <br /> -WORK PROPOSED NEW�CONSTR�B <br /> ADD/ALT. �� SIGN �. Q ';DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL Q <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SO•FOOTAGE,= :HEIGHT.•�__ .: <br /> WIWI ------------ <br /> [BUILDING $ VALUATION OF'TOTAL CONSTRUCTION' <br /> =ELECTRICAL $ AMP'SERVICE Q DUKEENERGY' Q W.R.E.C. <br /> =PLWMBIIVG �� .• <br /> =MECHANICAL VAL•LIATION OF MECHANICAL INSTALLATION <br /> [ GAS Q ROOFING C], SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOAD-ZQNE AREA YES NO <br /> BUILDER COMPANY <br /> SIGNATURE ' 'REGISTERED Y/ N FEE CURREN . Y•/N <br /> Address License# F <br /> ELECTRICIAN- COMPANY <br /> SIGNATURE REGISTERED Y'/':N FEE CURREN <br /> Address • -License# <br /> PLUMBER - COMPANY <br /> SIGNATURE t— REGISTERED Y7=N FEE CU(RRE�"'Y''I <br /> Address License.# (' ' <br /> MECHANICAL .;;' COMPANY �. <br /> SIGNATURE' REGISTERED Y/ N FEE CURREN Y/N. <br /> Address <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED `Y.i,•N,,,•, , FEE,CURREN: <br /> •Address License# —� <br /> RESIDENTIAL Attach-(2}=Plot'Flans;(2)'aetsof'Bulidirig:P(ars;,�1).set:afEriergyrvorins;R;OutlVi?errriifornewcanstruction„ <br /> ::Nlihimam•teri={�10):i orking days'afte�subrri�tta!'date.'`Re uiret7 onsite;'Gunst'r von Pions,S6rtnV3ater Plans Silt Fence installed, <br /> Sanitary:Fa0lities k-tdumpster;;Sit'e Wdtk,,PerrWit,�for§Gbd(visions/large-prdjects' <br /> COMMERCIAL Attach(2).complete,sets•of,:Building•Plansipius••a.*Life;-Safpty peige,(1:}'.set'of:Energy;Forms.R-OrW Permit fdr,:new construction. <br /> Minimum tern(10),warking„days af4ke.,rsubmitta!date.:i3lequ)red,=onsite;Constru on.Plaq%,Stormwater Pians'w/Silt'Fence-installed, <br /> Sanitary Facilities&1 durripster:Sife`il'6W Permit for a"" <br /> SIGN protects.All commercial.requirements meet compliance <br /> SIGN PERMIT Attach(�)-sets.of Engineered;Plans,,. <br /> ****PROPiRT-Y•SURVEY.'required for al!'NEW cbtistruction. <br /> l..i.1.. <br /> -------------------- <br /> Directions: <br /> Fill out application completely. <br /> Ownec•&:Cantractor siign_back of.,application,notarized <br /> 'If overt$2500,a Notice of'Comrrtencement is required. (A/C upgrades.over$7500) <br /> ** Agent(for the contractor.)or.Power.of.Attomey,(tor the owner)would be someonerwith notarized-letter from-owner authorizing same <br /> OVER THE.COUNTER,RERMITTING (c(?py;of•contrett 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 />