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1 <br /> 813.780-0020 City of Zephyrhills Permit Application Fax s13-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> s. ,:� . _• <br /> ,•Owne?i ame Owner Phone Number <br /> Address Owner Phone-Number' <br /> Owner Phone Number �— <br /> G <br /> :JOB ADDRESS• -.LOT# 3�Z <br /> SUBDIVISION )PARCEL <br /> . )PARCEL ID# <br /> (O$.TAtNED 1 ROM,P.ROPOTYTAX,NQTIdE)-. <br /> •WORK PROPOSED NEWCONSTR ADD/ALT. SIGN �• [ ;DEMOLISH' <br /> INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR 0 COMM OTHER <br /> VPE.OF CONSTRUCTION Q BLOCK FRAME STEEL Q <br /> DESCRIPTION OF.WORK <br /> BUILDING SIZE SCITOOTAGE --HEIGHT.. <br /> OBUILDlNG $ VALUATION OF'TOTAL CONSTRUCTION* <br /> =.EL'ECTRICAL $ AMP'SERVICE Q DUKEENERGY' Q W.R.E.C. <br /> =PLUMBING $` <br /> =MECHANICAL rr$• VALUATION OF MECHANICAL INSTALLATION <br /> =GAS' Q ROOFING L—,17 SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS � __j ',FLQO0-.ZONE AREA MYES NO <br /> :w .P <br /> BUILDER COMPANY <br /> 77 <br /> SIGNATURE •" REGISTERED Yt N j FEECURREN . Y•t'N <br /> Address License# <br /> ELECTRICIAN- COMPANY <br /> SIGNATURE :REGISTEREiD* 1f't N ° FEE CU(R�R'Ei` <br /> Address . 'License i _---� <br /> PLUMBER 'f COMPANY = CSC I <br /> SIGNATURE .REGIS't-.ERED Yi=N I FEE CURREh <br /> Address L-icense.# C <br /> MECHANICAL .:.;' -COMPANY 1. <br /> SIGNATURE REGISTERED I Y J N FEE CURREN LY t°N• ' •. <br /> Address License,#..� <br /> OTHER CQRPANY <br /> SIGNATURE REGI3TERi6 I "Y/I.K.-., .. FEE,CURREII• <br /> Address License# <br /> y 4 <br /> 4M1 <br /> RESIDENTIAL Attach(2j'Plot'PiaraS;(2)sets bf"C�uil'di g:P�arSs;,(9)'>set of Energy:Fortns;'R;;O Vll Remiif,,for new=.construction,, <br /> YMihirttum•ten-(�10)Working.'d'ays afEeh subri(iftal dale:�`Rei�uired onsite;`Gansti�ctiod Plaits,Stdrm�ialer'P{fins v�1 Slit Fence installed, <br /> Sanitary.Facilities k-tdumpster;SM3 W6tk.,,,Permit for•,iUbdivi'sions/large-prdjbcts' <br /> COMMERCIAL Attach(2)complete.sets.gf,.BWilding•Plansiplus•a4Life:$af.ety,'Pgge;'(1)'.set'of Energy Foams.R-O-W Permit fdr,:new construction. <br /> Minimum ten(10)anrorkingadays after sub�mlttal date;.l e'p e, rpnsite;Constryption.Pta�rlss;Stormwater Plans:wt Siit`Fence installed, <br /> Sanitary Facilities&1 durripstei.Si�e•Wdrk"Permit for a'l ew projects.Ali'oommerciai.requirements must meet compliance <br /> SIGN PERMIT Attach(2),sets.of Engineered;Plans,: <br /> "'*PROPERTY'SUR1lEY'requited for ail NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner,&Contractor sign,back af<.1ttplicatign,notarized <br /> If over,$25b0,a Notice af`.Commanceme,nt Is requlred. (A/C gpgrades.over$7500) <br /> " Agent(for the contractor,)or.Power.of Attorney,(for the owner)would be someone:with notarized-letter from-owner authorizing same <br /> OVER THE.COUNTER.=PERMITTING - (capy;'of,contract 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 />