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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-002• <br /> Building Department <br /> Date Received .phone Contact for Permittin <br /> .•M. , r. .. ... <br /> Owner's Name Owner Phone Number <br /> ' •-Owner's Address Owner Phone Number <br /> Owner Phone'Number <br /> I" <br /> JOB ADDRESS ..LOT# l 3 <br /> SUBDIVISION QeXY"K- f7p,b � PARCEL lD# ... <br /> (OBTAINED FROM,Pk0P.E1M—TAX I4bM09)•, <br /> WORK PROPOSED N •W CON$TR ADD/AIsT [^J 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 I SQ•FOOTAGE;= :HEIGHT <br /> =BUILDING $ VALUATION OF'TOTAL CONSTRUCTION' <br /> =ELECTRICAL $ AMP'SERVICE Q DUKE ENERGY• 0 W.R.E.C. <br /> =PLUMBING $' <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> =GAS [� ROOFING 0. SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS ) %FLOAD:ZpNE-AREA AYES . NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURREN . Y•/N <br /> Address License# � <br /> ELECTRICIAN- COMPANY <br /> SIGNATURE •REGISTERiD' Y/'N FEE CUR�R'ER ' 'Y 1 N <br /> Address . License# i <br /> PLUMBER �� COMPANY, <br /> SIGNATURE I--- -REGISTERED. Y i-N I FEE CURREA <br /> Address License.# � I <br /> MECHANICAL . ;" COMPANY >. <br /> SIGNATURE" REGISTERED Y/ N J FEE CURREh Y i'N• ' <br /> Address License-#.•[ �. <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED YIrN,,,:: ..• FEE,CU(RR`E�: <br /> .Address License# <br /> RESIDENTIAL Attach(2)=Piot PI'atis;.(2�`"sets'of"�u'iltlirig'Plarts;, 1).set of Energy Forms,"R O�Vi7''Rernr►it for new.construction„ <br /> .N1in'iitfium teri.(�10).vorliing:tiags'aftet submittal tlte,'`RegwCrei onsite;`Co`nstrctioii'Plns,8orrt�waler Piahs;w!5iit Fence installed, <br /> Sanitary:Facilities 8 ;•dumpsterfoSife Wdrk:Permit-for�subdivi'lions/iarge•prdjects' <br /> COMMERCIAL Attach(2).complete,sets•of.!Bullding•Plans plus,a¢Life,,Spfgty Page;(1).set of lEnergy.Forms.R-O-W Pennit for.:new construction. <br /> Minimum ten(10);wgrking,days�after-,submittol,date..F,equir•,Qo onsitei Construction.RLan.5,:SEormwater,Plans-•w/911t-,Fence instalied, <br /> Sanitary Fadilities&1 dUr ipst r.Site`W& Permit for awnew projects.All commercial.requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered;flans: <br /> ****PROPERTY S.UARVEY'req uited for all'NEW cbdatruction. <br /> d.f. <br /> Directions: <br /> Fill out application completely. <br /> Owner:&:Contractor sign.back offapplication,notarized <br /> 'if over$2500,a Notice of.Comrriencem®nt is required. (A/C upgrades.over$7500) <br /> ** Agent(for the contractor,)or.Power,of•Attorney:(for the owner).would be someone;with noterized•letter from-owner authorizing'same <br /> OVER:THE.COUNTEkP..ERMITTING • (capy;'of,contrabt.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 />