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$13-780-0020 City of Zephyrhills Permit Application Fax 813-780-0t <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> r. - .. _. . ,.. <br /> Owner's.Name Owner Phone Number <br /> >• ..Owner's Address Owner Phone Number" <br /> —i Owner Phone Number <br /> S <br /> ::IOB ADDRESS' LOT# E <br /> SUBDIVISION PARCEL ID#R <br /> (OBTAINED FROM.PhQP»EiRF TAX,fJQ 09)•: <br /> WORK PROPOSED NEWC0NtTR ADD/ALT �� SIGN [� Q ''DEMOLISH' <br /> R "INSTALL 8 REPAIR <br /> PROPOSED USE. SFR 0 COMM OTHER <br /> TYRE OF CONSTRUCTION = BLOCK Q FRAME STEEL Q <br /> DESCRIPTION OF.WORK <br /> .BUILDING SiZE —!� SO'_FOOTAGE-.= -.HEIGHT •�,__� <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION' <br /> l <br /> =�E=TRICAL $ AMP'SERViCE 0 DUKE ENERGY'. W.R.E.C. <br /> =PLUMBING $' <br /> =MECHANICAL ($— VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING SPECI, LTY OTHER <br /> FINISHED FLOOR ELEVATIONS '•.ELO0a.ZONE'AREA : YES . NO <br /> HHHHHHi ; , <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN.. Y•/'N <br /> Address License# <br /> ELECTRICIAN• COMPANY <br /> SIGNATURE REGISTERED' Y r-N . FEE CORREt <br /> Address , 'License id <br /> .� <br /> PLUMBER �� COMPANY �`� S <br /> SIGNATURE �`w--'" REGISTERED. Y 1-N• I FEE CURREN <br /> Address License.# <br /> MECHANICAL . ;' COMPANY <br /> SIGNATURE' REGISTERED Y/ N FEE CURREN Y/''N• ' <br /> Address License-#..� <br /> OTHER COMPANY <br /> SIGNATURE RFCxISTERED 'Y'/r N,,,•: ,., FEE,CURREI\• .• r1i.N,_. <br /> -Address License# <br /> b •t ,.t`N •3• <br /> RESIDENTIAL Attach={2)Piot P.i'aq$;.{2=sets of Rai(dir gPlerts,,.rt1}.$et ofEne[g �Forins;'R O SN�Mifiimum ten:{1+U).Vrorking ' 0ejit for new=construclatinos <br /> SFence insfailed,er �aa3 Gs61 mndw A <br /> Sanitary:Facilities 8`,.dumpster;'oSite Work:Permit,for,sWbdivlsions/large•prdfects" <br /> COMMERCIAL Attach(2,).compiete,setsof.;BujldiRg•Piansiplus••aeLifei§afety.;Page;(Ii)iet•of,EnergyForms.R-0=W Permit fdr•new construction. <br /> Minimum ten 1 11,orkirtg�clay altar subs(ttai•date.,f epulr.qdr Onsite;Construction.R.t lnss,Stormwater,P4ans.•w/Silt`Fetice••instailed, <br /> Sanitary Facilities&1 daM ater.Siite Wd"kk'Permit for ali'new projects.All commerclal.requirements must meet compliance <br /> SIGN PERMiT Attach(2),sets.gf E•ngi ,gered;'Rla'ns: <br /> """"PROPERTY$U'f�VE�Y•'required for all'Ni;W construction. <br /> Directions: <br /> Fill out application compietply. <br /> Owner•&Contractor sign.back of,,eppiication,notarized <br /> 'If over$256d,a Notii a bf'Commencement is required. (AtC upgrades.ovor$7500) <br /> Agent(for the contractor,)or.Power of•Attorney,(for the owner}.would be someonewith notarized-letter from-owner authorizing same <br /> OVER THF_COU.NTER,RERMITTING (copy'of'contrsct requiXed} <br /> :n <br /> Reroofs if stiingies Sewers Service Wpgra'des A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />