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813-780-0020 City of Zephyrhills Permit Application Fax s13-780-0021 <br /> Building Department <br /> bats Received Phone Contact for Permitting <br /> ' _. . .. <br /> Owner's.Name Owner Phone Number <br /> ` .,Owner's Address Owner Phone Number <br /> Owner Phone Number <br /> �4 <br /> (. .JOB ADDRESS' --LOT# Z- <br /> SUBDIVISION ,, !trg h PARCEL ID# <br /> (013.TAINEW0ROM.P.ROP.ERTY TAX,NOTICE)> <br /> WORK PROPOSED NE•W CONSTR' ADD/ALT =J SIGN = Q ,DEMOLISH' <br /> e INSTALL 8 REPAIR <br /> PROPOSED USE. 0 SFR = COMM C�. OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME ' STEEL = <br /> DESCRIPTION OF.WORK <br /> BUILDING SIZE SO-FOOTAGE.= HEIGHT '�__ <br /> =BUILDING $ VALUATION OFTOTAL CONSTRUCTION' <br /> 's <br /> 4 =ELECTRICAL AMP'SERViCE = DUKE ENERGY' 0 W.R.E.C. <br /> =PLUMBING <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> =GAS 0 ROOFING 0_ SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS •.FLO.OW�ZONE'AREA =YES . NO <br /> , <br /> BUILDER COMPANY <br /> SIGNATURE -' REGISTERED Y/ N _J FEE CURREN <br /> Address License# F <br /> ELECTRICIAN• COMPANY <br /> SIGNATURE REGISTERED' Y V'N ' FEE Ct1RREh <br /> Address . License# �— <br /> PLUMBER 'f COMPANY <br /> SIGNATURE ,REGISTERED Y%-N I FEE CU(R�'REh'• <br /> Address License.# I� <br /> MECHANICAL -COMPANY <br /> SIGNATURE` REGISTERED Y/ N FEE CURREN <br /> Address License#.r 1 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y7.N, FEE CURREh• <br /> Address <br /> .. ,.. :, <br /> . .License# <br /> ft <br /> x <br /> RESIDENTIAL Attach`0-1piotPians;.(2)`8etsof"Buiiding-Piafis;,(1)'.setlofEher y.Forms;R=OWPermi;J6rnew;construction,:, <br /> Mlf'simum�t664. 10),working:days after submittal-,,date:'Re tiled onsite;'Cbnsiritatiorl Plans,Stidm4 ier Pians"wl Silt Fence installed, <br /> Sanitary:Facilities&;1:dumpsteruSite Work:Permit4drsubdiviWons/large-prdjeCts <br /> COMMERCIAL Attach(2)complete,sets-of..,Building-Plans plus•a,Lifi:,5pfetIA:page,(1).set of�Energy.Fo'r_ms.R-O-W Permit fdr,new construction. <br /> Minimum ten.(10)yporking,days aftersubrriittaidate..Required onsite;Construction.P(ansti Stormwater,Plans w!Silt Fence installed, <br /> Sanitary Fadii 14 &1 dun o&i.Sft Work Permif for all"new projects.All commerclal.re'qulrements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans'. <br /> ****PROPERTY$.UFtil y requited for all'NEW construction. <br /> d f� <br /> Dirac#tone. <br /> Fill out application completely. <br /> Owner,&:Contractor sign.back of application,notarized <br /> 'if over$250d,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 notanzed•letter from-owner authorizing same <br /> OVER THE COUNTER!P..ERMITTING - (copy,�ofCo6traot 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 />