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813-780-0020 City of Zephyrhills Permit Application Fax s13-78a-o02 <br /> Building Department <br /> Date Received Phone Contact for Permittin <br /> } <br /> Owner's.Name Owner Phone Number <br /> •;Ownees Address Owner Phone Number �— y <br /> . �� 7777 Owner Phone Number•. <br /> t ' <br /> JOB ADDRESS' 131940D LOT# <br /> SUBDIVISION .' ��r� PARCELID# �S= <br /> (OBTAINED FROM.PA6PERTY TAXAOT10t)•: <br /> ..WORK PROPOSED e NEW CON'sTR ADDIALT �] SIGN [� [� -,,DEMOLISH'INSTALL 8 REPAIR <br /> PROPOSED USE. 0 SFR •COMM C�. OTHER <br /> TYPE OF CONSTRUCTION BLOCK 0 FRAME STEEL Q <br /> -•DESCRIPTION OF.WORK <br /> BUILDING SIZE .C SQ-FOOTAGE :HEIGHT <br /> R QBUILDING $ VALUATION OF'TOTAL CONSTRUCTION* <br /> f <br /> =ELECTRICAL , AMP'SERVICE Q DUKE ENERGY' W.R.E.C. <br /> =PLUMBING <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> =GAS 0 ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS 1"LOAD'ZONE-AREA ��YES . NO <br /> • <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN-.. Y•/'N <br /> Address License# F <br /> ELECTRICIAN• COMPANY <br /> SIGNATURE REGISTERED' 1'/ N FEE CORRU Y!N <br /> Address . License# �^ <br /> PLUMBER '� COMPANY S �� <br /> SIGNATURE I'' REGISTERED. Y%-N FEE'CU(RRREEh' <br /> Address License.# <br /> MECHANl.CAL COMPANY �. <br /> SIGNATURE' REGISTERED Y/ N FEE CURRER Y/'N• J . <br /> Address License#.•F <br /> OTHER COMPANY, <br /> SIGNATURE REGISTERED' Y!.•N,::.: ,.. FEE,CURREA; .. LS N - <br /> Address .License# <br /> t ,r a• .x _ •.4 _ <br /> RESIDENTIAL Attach-(2j=PlotPaar ;.(2)'-sets•of`Batidir%g:Piaris;;. i),s'atQfEnergyrf=orms;F2OsW'Remjit;fornewconstruction,, <br /> =:Mitiiiamum:terf-('i'0):wanking d''ays affet}submittai tlate:'RegUi�ed onsite;'Cb'nstMotlori Plans,S2ormwater Piacis;w!Silt Fence installed' <br /> Sanitary:Facilities 8�1tidumpstar;,Site'Wor'k.Permit-for,stlbdivi'sions/large•prdjects- <br /> COMMERCIAL Attach(Z).complete.sets-af.,Buiiding•Piansiplus'ayLife3:,S_afety"pEige;`("y-set'ofiEnergy.Forms.R-O'-W Permit for:new construction. <br /> Minimum ten(10);working;days.-after.submitkafdatery.l�equ�re�tlronsite;Construction.Rlanss;Stormv�+ater,Pians•w/Sik'Fence•instaiied, <br /> Sanitary Facilltres&1 dumpster.Site Work•Permlt for W new projects.All commercial.requirements must meet compliance <br /> SIGN PERMIT Attach(�)-setp.¢f Enginaered,Plans'. <br /> ****PROOERTY,g.0 ,}EY•'required for all'NEW ebtistruction. <br /> Directions: <br /> Fill out application completely. <br /> Owner:,$:Gantractor sign.back a#.aippiicatign,notarized <br /> If over$250ti,a Notice of_irommencement Is requlred, (A!C upgrades over$7500) <br /> Agent(for the contract or,)or.Power.of•Attorney,for the owner).would be someone.with notarized-letter from-owner authorizing same <br /> OVER THE.COUNTEP,,RERMi17ING • (cop,;of,coritract,requ(red) <br /> Reroofs if sfiingtes Sewers Service Wpgra'des--A/C Fences-(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways-needs ROW <br />