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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-G <br /> Building Department <br /> Date Received <br /> .Phone Contact for Permitting <br /> Owner's.Name Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Owner Phone Number <br /> JOB ADDRESS, ..LOT# 2 <br /> i� SUBDIVISION PARCEL ID# <br /> (OB.T.AINEUIFROM.P.RORERTaf TAX•NOTiGE)•: <br /> -WORK PROPOSE D' e NSWCONSTR ADD/ALT � SIGN ' �• [� •DEMOLISH'INSTALL 8 i2EFAIR <br /> PROPOSED USE. SFR Q COMM OTHER, <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME ' STEEL Q <br /> -DESCRIPTION OF.WORK F_ <br /> .BUILDING SIZE SQ-FOOTAGE:= :HEIGHT . <br /> ©BUILDING $ — VALUATION OF'TOTAL CONSTRUCTION, <br /> I <br /> ! =EL•ECTRICAL AMP'SERVICE Q DUKE ENERGY' Q W.R.E.C. <br /> =PLUMBING $` <br /> [MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> =GAS 0 ROOFING Q SPECIAjY OTHER <br /> FINISHED FLOOR ELEVATIONS •.F1:OOD ZQNE•AREA �YES . NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRER Y•/'N <br /> Address License# F_ <br /> ELECTRICIAN. COMPANY <br /> SIGNATURE REGISTERED' Y/ N FEE CORRER <br /> Address . 'License <br /> PLUMBER f COMPANY <br /> SIGNATURE � �r .REGISTERED. ,f Y i-N' I FEE CURRER 11„YI,N.4: <br /> Address License.# F <br /> M.EOHANICAL -; -COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN Y/'N. ' <br /> Address License#•,l � <br /> OTHER COMPANY <br /> SIGNATURE RtQ$TERED 'Y:/rN,.;.: , FEECURRER• Ysi,N, <br /> -Address .License# F <br /> RESIDENTIAL Attach-(2}=Plot Plal�:s.,.(Z}-sets of'Ruilei g P4aris;,.(1)Iset,of.Energy forms;'FW-w PegIt,fornew:constructionu r <br /> r:Mii�imum;teri-{1:0), rorking s affei`subiftai` ate: Required onsite;`Ciinstctlori Plans,S�orrrwater Plats wY Silt Fence insfailed, <br /> Sanitary:Facilities k-t.dumpsterf SMB Wbrk.Permit-'for,•sObdivisions/large•prdjects' <br /> COMMERCIAL Attach(2).complete,sets•9f;Buildin.9-Plansiplus•a.,L:Ifq,;$afetypage.(1:yset'of+EnergyForms.R-CCW Permit for.:newcohstruction. <br /> Minimum ten(10)•yorkinggd ys affter,wsubnitttal•da#ey. eq-,ifedtpnsite;Construction•P ansy,Stormwater,Rians•w/Siit'Fence••instailed, <br /> Sanitary Facilities&1 dUni09t6r.Site lark Permit for ail new projects.All'oommercial.requirements must most compliance <br /> SIGN PERMIT Attach(�,Woof gingin,eered;Plans: <br /> ****PRO ERTY S.U'0PY•requlted for all'NEW construction. <br /> . {. <br /> Directions: <br /> Fill out application completely. <br /> Owner&:Contrpctor sign.back af.Rpplicaticn,notarized <br /> 'If over$25tld,a Not!6e of;Comrrier)cement is required. (A/C upgrades over$7600) <br /> "* Agent(for the contractor,)or.Power.d.Attomey.(fbr the owner).would be someone:with notarized-letter from-owner authorizing same <br /> OVER.THECOUNTER.REIlMITTING - (capy;of,codtrabtrequI ed) <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 />