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813-780-0020 City of Zephyrhills Permit Application Fax 813-780.0021 <br /> Building Department <br /> i, <br /> Date Received <br /> Phone Contact for Permittin <br /> Ownees.Name J Owner Phone Number <br /> =Owaers Address Owner Phone Number <br /> r <br /> _71 Owner Phone Number <br /> t <br /> JOB ADDRESS' LOT# <br /> SUBDIVISION r th3` - PARCEL ID# <br /> (OBTAINEDFROMrP.ROPERTY TAXdJQrIC.E)•: <br /> i WORK PROPOSED NEW GONSTR ADD/ALT SIGN =. 0 DEMOLISH' <br /> R <br /> INSTALL 8 REPAIR <br /> PROPOSED USE• = SFR COMM OTHER <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME STEEL Q <br /> DESCRIPTION OF.WORK <br /> BUILDING SIZE ^� _ S4-FOOTAGE;= HEIGHT • ,. <br /> i =BUILDING VALUATION OF-TOTAL CONSTRUCTION' <br /> E <br /> =•EL'ECTRICAL $ AMP'SERVICE DUKEENERGY' Q W.R.E.C. <br /> OPLUMBING <br /> '=MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING [] SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS `.FLQOD'ZONE•AREA =YES . NO <br /> BUILDER COMPANY <br /> SIGNATURE ' REGISTERED Y1 N FESCURREN . Y•/'N <br /> Address License# <br /> ELECTRICIAN- COMPANY <br /> SIGNATURE •REGISTERED' 1'/ N FEE CORREP <br /> Address . License# <br /> PLUMBER r COMPANY <br /> SIGNATURE —— REGISTERED Y 7-N' FEE CURREA <br /> Address License.# - <br /> MECHANICAL .:•; -COMPANY <br /> SIGNATURE' REGISTERED I Y/ N I FEE CURREN <br /> Address License,#T <br /> OTHER . COM;PANY <br /> SIGNATURE REGISTERED 'Y%:N,..... ; FEE,CURREh• .. Y.V,N_.. <br /> Address License# <br /> RESIDENTIAL Attach'{2)plot Plans;.{2)°sets of BiI'iiitirig'P.-lads;,j1}set of'Eriefgy,Forms;'R-O�Vtif''Rermitwfbr new,constructlon,, <br /> .MiniFnum ten;(�f°0')vrrorking:'days afteC sub► sftal'rlate:,';A t46ifr66 onsite;`GonstK ctioi Plans,Stormwate'r Ptans:wi Silt Fence insfaited, <br /> Sanitary:Facillties&dumpster;,SIte Work:Permit-'fors,Ubdivisions/iatge-projects- <br /> COMMERCIAL Attach(2)coomplete.sets•of.,Building-Plans plus�a{Life,,,.,$ ty;Page;(1=).set-of!Energy.Forms..R-O=W Permit for.-new construction. <br /> Minimum fen(10),wgrking�days aftersubrri{tta!•date..Requlre�drOnsite;Construption',Pfansi Sfarmwater•PI ns•w/Siltl:ence installed, <br /> Sanitary Fadilities&1 dirrripste i.SIfe'INork�Permit for Ell new projects.All commercial.requirements must meet compliance <br /> SIGN PERMIT Attach(2)•sets of Engingered"Plans. <br /> ****PROPERTY SLY!kVEY"required for all,NEW cbristruction. <br /> Directions: <br /> Fill out application completely. <br /> Owner,.&:Contractor sign.baek af.;application,notarized <br /> 'lf over$2500,a Notice'is .Comrrrencement is required. (A/C upgrades.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 TIDE.COUNTER�PERMITTING (copy of contrabt required) <br /> Reroofs if shingles Sewers Service Upgrades-A/C Fences(Plot/Survey/Footage) <br /> Driveways-Nat over Counter if on public roadways..needs ROW <br />