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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> Date Received <br /> .Phone Contact for Permit#ing <br /> s <br /> Owner's"Name Owner Phone Number <br /> ;l:.Owner'sAddress Owner.Phone.Number <br /> Owner Phone Number <br /> JOB ADDRESS' _LOT# <br /> SUBDIVISION ftl,�Cdh iy &"' J PARCEL ID# <br /> (08TAINED FROM P.RORERTY[AX,NQ7ICE). <br /> -WORK PROPOSED e NEW CONSTR ADD/AL:T• SIGN [� [ DEMOLISH'INSTALL 8. REPAIR <br /> PROPOSED USE = SFR COMM. OTHER <br /> TYPE•OF CONSTRUCTION 0 BLOCK 0 FRAME STEEL Q <br /> DESCRIPTION OF.WORK <br /> BUILDING SIZE i SQ•FOOTAGE;= :HEIGHT. <br /> =BUILDING VALUATION OF•TOTAL CONSTRUCTION' <br /> t <br /> I ='ELECTRICAL $ AMP`SERVICE 0 DUKE ENERGY' Q W.R.E.C. <br /> =PLUMBING $` <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS' 0 ROOFING 0_ SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS ',FLO.OD•:ZONE AREAL: YES NO <br /> BUILDER COMPANY <br /> SIGNATURE ' REGISTERED Y/ N FEE CURREN . Y•/N <br /> Address License# ! <br /> ELECTRICIAN- COMPANY <br /> SIGNATURE REGISTERED` Y'/!N FEE CU(RRRE'n'�' <br /> Address., 'License <br /> PLUMBER 'j COMPANY GS r <br /> SIGNATURE REGISTERED. Y7'N FEE CURREN <br /> Address • License.# <br /> MECHANICAL ;' COMPANY �. <br /> SIGNATURE` REGISTERED Y/ N J FEE CURREN Y/'N• . <br /> - r <br /> Address Llpense"#Jz <br /> OTHER CQRPANY <br /> SIGNATURE REcztsTEREo "Y •N,.:, , FEECURREN: .. • YL-IkN,., <br /> -Address Ucense# I._ � <br /> RESIDENTIAL Attach(2j=P (2)'Sets-bf'Bul'i tng'Planss;,(1)'.setof,EngrQy--~onYis;7R1PP Y'Permitfbrnew=construction. . <br /> Miia'ifmum•ten=('IO).Working d'ags afCehsubrriiftal'late:•r`Rec(#IieiS tinsife;`ConstNctiorti-Pfaits,StormSrater Ptans:v(i!Slit Fence installed, <br /> Sanitary.Faoilittes k1dumpstdr;�Stte W6tk42ermit,f6r•sitbdivi'sions/tatge-projects" - <br /> COMMERCIAL Attach(2).complete.sets-of.BuIidtrtg•Plansiptus-a.,Life.$afgty_,P.age;`(1)'.set'ofiEnergy%Forms.R=O=W Perm itfdr.newconstruction. <br /> Minimum fen(1Q)a+ugrktng;d ys,a€tgr ub it;at date;.t equ rae�d=pnsite;ConstruGtton•PJ.oq Stormwater,Plan Sitt'Fence••instalied, <br /> Sanitary Fadlli%s&1 dUrtipster.S6•Work Permt'ffor afrnew projects.Att'commercial.requirements must meet compliance <br /> SIGN PERMIT Attach(�),sets.of EngIQ,"red:Plans,'. <br /> ""'"PROPERTY•S.U�RVE`f'required for all'NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner:,$Caniractar s�gn.back of,.application,notarized <br /> 'if over$2540,a Notice of.Commencement is required. (A/C upgrades over$7500) <br /> Agent(for the contractor,)or.Power.of.Attorney:(for the owner)would be someone:with notarized4etter from-owner authorizing same <br /> OVER THE COUNTER,PERMITTING -• (copy;'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 />