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813-780-0020 City of Zephyrhills Permit Application . Faic.813-7so-ooz <br /> Building Department <br /> De artme t <br /> £ Date Received •Phone Contact for Permittiin <br /> Owndes'.Name Owner Phone,Number_: . <br /> a;'•'Owrier's Address Owner Phone Number <br /> .Owner Phone Number:. <br /> n � <br /> JOB ADDRESS, <br /> DDRESS � 3 7 r �,d� A Z � ' <br /> <.-. SUBDIVISION .+.�. [ka PARCEL ID# Jy 0 2%�/7//10- C14?yo 0 43Z41P <br /> �� (08TAINEDt FROM.P.ROPEP Y Ti4X,NE/T300 . <br /> :•WO,RK RROPASED NE•W CONS7R ADD/ALT. S!'GN Q. �� ;DEMQLlSH' <br /> INSTALL REPAIR'. - <br /> e 8. . <br /> PROPOSED USE. 0 SFR 0 Comm OTHER . 7 <br /> TlYPE OF CONSTRUCTION Q BLOCK Q. FRAME -STEEL­.:0 <br /> DESCRiPTION OF.WORK . <br /> BUILDING SIZE � �-SQ-FOOTAGi�.� :fiEiGiiT: <br /> { ©BUILDING $- `VALUATION OF'TOTAL CONST.RUCTiON' <br /> is • <br /> 0[•ELECTRICAL - $ .:' AMP'SERVICE DUKE ENERGY' W.R,E,C. <br /> 0 <br /> =PLUMBING'.' <br /> =MECHANICAL $$- VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING Q SPEQ!ALTY OTHER ._ <br /> FiNfSHECt FLOOR ELEVATIONS I?l;Q;OD'ZONE'AREA AYES . NO <br /> BUILDER COMPANY <br /> SIGNATUREREGISTERED Y/ N FEE CURREf <br /> Address License# �- <br /> ELECTRICIAN ' .COMPANY <br /> SIGNATURE.' .REGISTERED' 1'/'N = ' FEE CORRER Y LN <br /> Address . -Lioense <br /> PLUMBER COMPANY <br /> SIGNATURE FEECURREh <br /> C, C' <br /> Address: License.# f <br /> MECHANICAL .:;' COMPANY <br /> SIGNATURE. REGISTERED Y/ N 'I FEE CURREN Y/W . <br /> Address <br /> OTHER <br /> COMPANY <br /> SIGNATURE - REGISTERED: "Y%;N,,, ..: FEE,CURREh. <br /> Address .License# i <br /> RESIDENTIAL Attach-{2)=P(ofPaati ;.(2`setsofR�ui►dingPieris,;(i),setgf'EtiecgYrForms;`RO;Vt!'Permit-fornew;construction,. ' <br /> Mii3i n .--.ten{i:0),working:tlays aftet sublfiifta1'°tlate ':`Req iced onsite;'C6nstru'cttoh•Plans,Storrriwa ei!?fails vr!$i{t t=eiice insfa{{.ed,.. <br /> Sanitary:Faciiities&6,jw.dumpster;:,Sltb Wdrk...PertWit fbr,silbdivi'sioris/large-projects' <br /> COMMERCIAL Attach(2)pompletesets•of.,Buifdi;ig i?ians piUs•aYLM%4$,afety Page;(1}':set of:Energy-,Fdrms.R O=W Permit;fdr.-hew construction. <br /> Minimum ten'(10);,working,depys,a{ftefssubmmittal:date..R:egtiired onsite,Gonsiruhetian•i?ianss:Stom�water,Plans.'.w/Slit'Fence••instailed, <br /> Sanitary Facilities&1 dumpst iE 51te Work Permit for atI new projects.ALi rnmercialsequirements must meet compliance <br /> SIGN PERMIT Attach t2)•selpf l:'rigineered;*Rlans: <br /> ****PROPERTY.$i�F�VEY•'requlred for all'NEWIdotistruction. _ <br /> \. <br /> Directions: <br /> Fill out application completely. <br /> Owne[.Bs:ContTgtorsign:back af,.applicatlgn,notarized <br /> if over)$2600,a Notice bf.Comrner aemen0s recyuIre& (A/C upgrades over$7500) <br /> * Agent(for the contractor,)or.Power,of.Attorney,(for the owner).would be soineone;with notarized-letterfrom•owner authorizing same. <br /> OVERTHE.COUNTER,,PERMITTING - (copy;of-contract-requtced). : <br /> Reroofs If stiingies Sewers Service Upgrades=A/C Fences_(Plot/Surveffootage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />