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P 813-780-0020 City of Zephyrhills Permit Application Fax-e13-780-00'A <br /> 1 Building Department <br /> Date Received <br /> Phone Contact for Permitting - <br /> -Owner's.Name Owner Phone Number <br /> .Owners Address 1 Owner Phone.Number <br /> Owner Phone Number <br /> r <br /> JOB ADDRESS' LOT# - <br /> �►c SUBDIVISION ��5�.?:(IL .O �. PARCEL ID# <br /> � (013.TAINE0ER0;PR0P9I1TYTAX,FtQTi�E). <br /> WORK PROPOSED PtEW CON$TR ADD/ALT. SIGN (� .-DEMOUSH' <br /> .e INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM- OTHER <br /> TYPE.OF CONSTRUCTION 0 BLOCK 0 FRAME STEEL 0 <br /> DESCRIPTION OF.WORK <br /> BUILDING SIZE SQ•FOOTAGE= :HEIGHT: <br /> I �, . <br /> ! =BUILDING $ VALUATION OF'TOTAL CONSTRUCTION' <br /> i =ELECTRICALS AMP'SERVICE 0 DUKE ENERGY' Q W.R.E.C. <br /> =PLUMBING ($' <br /> =MECHANICAL �$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR.ELEVATIONS (� - ,Fi o,O0-ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE •' REGISTERED i Y/ N _J FEE CURREN . Y•/N <br /> Address License# E � <br /> ELECTRICIAN- COMPANY <br /> SIGNATURE REGISTERED' Y'/ N FEE CU�R`REN <br /> Address . .License# ) <br /> PLUMBER "'�4 <br /> COMPANY � C� �r' 1 <br /> ` <br /> SIGNATURE .REGISTERED Y7-N FEE CURREh <br /> Address License.#. �'' <br /> 1. <br /> MECHANICAL ...; COMPANY 1. <br /> SIGNATURE' REGISTERED Y/ N FEE CURREh Y/a N. • . <br /> Address 771 Ltpense4.1 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I 'Y'i,•N,,., RE IURRRE`ti. .. <br /> -Address License# <br /> RESIDENTIAL Attach-{2)=Piot'Fla is;(2)sets-of`BuilaiM.'Plaxis;,(1}•,Sgt.of Ever y Farms;'RrDuGV Pecrrji for new.cons#ructionu <br /> IV1iniMtim•term(dt))-iivorlcirfg:`d"a'jrs'aftehsubrriiftai clots:�`Rec(Uiretl onsite;'GfSnstNctioil Ptarts,StonAWaW Pians:'Q1 Slit Fence installed, <br /> Sanitary:Facilities kl;dumpsterr,Site Work:,Perrhit;:forsflbdivi'sions/large•prdjects• - <br /> COMMERCIAL Attach(2)complete.sets•of,.Buiidiltg•Planslpius•a.,Lifei;$afetyA;P.age;($$.set of+Energy;Fo�ms.R40-W Permit for:new cohstruction. <br /> Minimum ten(10)wgrking dgyR;aftersubrnlfiai d, te,,Requyred=posits;Construction-R.ti rlsi;Stormwater.Rians:w/Siit Fence installed, <br /> Sanitary Facilities&1 dpnipster.Site"Work Permit for all new projects.All'commercial.requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets.of Engineered;Pla'ns,: <br /> ****PROPERTY S(1R1/SY tequlfed for aH'NEW c0tistruction. <br /> Directlons: <br /> Fill out application completely. <br /> OwneF.&Q6ntr4ctor sigo,back of,•application,notarized <br /> 7f over,$2500,a Notice of Corr mencement is required. (A/C upgrades.over$7500) <br /> Agent(for the contractor.)or.Power.of ktorney:(for the owner)would be someone:with notarized-letter from.owner authorizing same <br /> OVER THE.COUNTER,PE;RMITTING -- (copy;of corstroet*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 /> l <br />