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$13-7$0-0020 City Of Zephyrhills Permit Application Fax a1s-780-0( <br /> Building Department <br /> Q <br /> Date Received 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#. S' <br /> F SUBDIVISION -t �t1-� }�r J PARCELiD# <br /> (OB.TAINEUFROiZP.ROP»ii�—Ti4X,NOTICE)•: <br /> -WORK PROPOSED e NfiW-CONSTR- ADD/ALT �� SIGN 0. 0 -DEMOLISH'INSTALL 8 REPAIR <br /> PROPOSED USE. SFR = COMM OTHER. <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK <br /> .BUILDING SIZE .� SQ'FOOTAGE-,= -.HEIGHT <br /> i =BUILDING $ VALUATION OF'TOTAL CONSTRUCTION* <br /> 1 <br /> =•ELECTRICAL 1$ AMP'SERVICE 0 DUKE ENERGY' 0 W.R.E.C. <br /> OPLUMBlNG �.•� , . . <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING SPEGfALiy OTHER <br /> FINISHED FLOOR ELEVATIONS •.17LO.OD'20NE'AREA [=YES . NO <br /> :�. <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y•/'N <br /> Address License# F_ <br /> ELECTRICIAN, COMPANY <br /> SIGNATURE REGISTERED" Y/:N ' FEE CORREN LiOU <br /> Address , License <br /> PLUMBER COMPANY <br /> SIGNATURE "�"� .REGISTERED• Y1 N• FEE CURREN <br /> Address License.# <br /> MECHANICAL COMPANY <br /> SIGNATURE' REGISTERED I Y/ N I FEE CURREN <br /> Address License#. 77 <br /> ,r <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I 'Y/.,N,,•.•: :.. FEE,CURREN• .• .sl,N ,. <br /> -Address License# � <br /> RESIDENTIAL Attach`{2)Ptot i?Ian'',$;.{2}sef of wildingPtens;,.(1).sest.of`Elier�y�orrils;'R(�.VC!`Permitfornew=construction,, <br /> MiFii'Frlum ten:(10):.Workirig tl ys aft fusubrifit sl i fite�'`Requri'ed onsite;'Const�r ctioh Plans,Sto'rmw'ale''r Piahs-w`/Silt Fence installed, <br /> Sanitary:Facilities&1.;.dumpster;�Site Wdrk!Permit-Tor-sUbdivisions/letge•prdjbcts' , <br /> COMMERCIAL Attach(2).compiete,sets-9frBuilding•PlansiplUsa.&Ife,$afetyMPage;(1,y.set'ofiEnergy.Forms.R-Q=W Pen-nit fdr•newcohstructlon. <br /> Minimum ten(I0)vorking,4a) , ft9rss,,ub ittai,date.,F p.)rtedspnsite;Construption-P% , �;Stormwater,Plans•*-w/911t'Fence-ln$talled, <br /> Sanitary Fadil tles&1 d4rripstW Site�/drk Perinit for all'new projects.All commerciai.requirements must meet compliance <br /> SIGN PERMIT Attach(2),sets of Engipgere.d"Pla'ns. <br /> ****PROI3tRTY StAVEY•requIf6d for ail'NEW construction. <br /> Directions; <br /> Fill out application completely. <br /> Owner•&:Contractor sign.back of,,eppiicaticn,notarized <br /> 1f over$25tfd,a Notice af.Cammen.¢ement is required. (A/C upgrades.over$7500) <br /> ** Agent(for the contractor)or.Power,af•Attomey,ffor the owner).wouid be someone:with notadzeddetter from•owner authorizing same <br /> OVER THE COUNTERME]IMITiING - (c9py;'of:con1ract.required) <br /> Reroofs If shingtes Sewers Service Upgrades=A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />