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813-780-0020 City of Zephyrhills Permit Application Fax 813-7a0-00z' <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> :�•_ . <br /> Owner's.Name Owner Phone Number <br /> sc:-.Owners Address Owner Phone•Number <br /> Owner Phone Number <br /> JOB ADDRESS' -.LOT# <br /> jj1 , • �� <br /> i SUBDIVISION t 1 L",Lx PARCEL ro# <br /> (oBTA1NgD'Friom pROREf tTY TAX,NQTICEi•. <br /> WORK PROPOSED NEW CON§TR ADD/ALT• SIGN [� [ ;DEMOLISH' <br /> e .INSTALL' 8 REPAIR <br /> PROPOSED USE Q SFR COMM OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK FRAME STEEL [� <br /> DESCRIPTION OF.WORK <br /> .BUILDING SIZE ^^ SQ•FOOTAGE; :HEIGHT: <br /> Wig <br /> =BUILDING $ VALUATION OF-TOTAL CONSTRUCTION' <br /> =,EL'ECTRICAL $ AMP-SERVICE DUKEENERGY' W.R.E.C. <br /> =PLUMBING �� • <br /> =MECHANICAL $• VALUATION,OF MECHANICAL INSTALLATION <br /> =GAS ROOFING �? SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FL•O.OD'ZONE AREA YES NO <br /> BUILDER COMPANY <br /> SIGNATURE •' REGISTERED Y/ N FEE CURREN . Y•/N <br /> Address License <br /> ELECTRICIAN, COMPANY <br /> SIGNATURE REGISTERED' 'Y'/'!N FEE CURRE� N <br /> Address . 'License <br /> PLUMBER '� COMPANY r e S <br /> SIGNATURE rr^" REGISTERED Y%'N I FEE CURREN <br /> Address License.# f � <br /> MECHANICAL .r.; -COMPANY 1. <br /> SIGNATURE' REGISTERED Y/ N FEE CURREN <br /> Address <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED `Y'/,•N,,.., :.. FggCURREn• <br /> Address .License# !. <br /> RESIDENTIAL Attach(2)'Plat'.PI'ags;(2)sets'of'I uliain .P(arys;,(i)' 'et.of Energy 1?oniis;'R=O-W Fern itf6rnew;construc600.. <br /> �M1Windm•ten-,(�10)Worliirig.'days'aftehsubrriif# f tlate.>�'Re�uiPe i t�nsGoitstiUctiori•Ptaris,Storri rtia er Plans.wl Silt Fence installed, <br /> Sanitary:Fa"cilities&-1.dumpster Site a <br /> W6tk.,,Pert it�for•sUtidivi'sions/latge-prdjects' <br /> COMMERCIAL Attacb(2).complete.sets-af.BuildiRg•Plansiplusa., ifO,-4afety;:Page1(1�)'.st'oPEnergy;Forms.R-O-W Permitfdr•new construction. <br /> Minimum ten(10),workinged ys a fter.Pubr"100�ite,.R,iq'r•,e rpnsiie;Construction-Piarls�,Stormwater Plans:w/Silt'Fence�•instailetl, <br /> Sanitary FadliIii'es&1 durripst r.Slfe'UVdrk'Ferini'mr all"new projects.All commercial.requirements must meet compliance <br /> SIGN PERMIT Attach(2)-sets.of Engineered;Pia'ns,: <br /> ""PROPERTY•$.UR1lEY'requir•ed for all'NEW construction. <br /> Directions: <br /> Fill out application completely. - <br /> Owner,$-.Cantractor sign•back of>•�p,lIcation,notarized <br /> 'If over$2500,a Notice of,Cominenaement is required. (AlG upgrades.aver$7500) <br /> ** Agent(for the contractor.)or.Power•of•Attomey,Ifor the owner)would be someone.-with notarized-letter from-owner authorizing same <br /> OVER THE COUNTER,P2R,MIT,ING -- (copr;'of coratrabt required) <br /> Reroofs if shingfes Sewers Service'Upgrades-A/C Fences(PlottSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />