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813•780-0020 City of Zephyrhills Permit Application Fax-8u3-780-0i <br /> Building Department <br /> i; <br /> Date Received <br /> Phone Contact for Permitting - <br /> Ownee .Name Owner Phone Number. <br /> n; Owner's Address Owner Phone Number L �� <br /> �1 Owner Phone Number <br /> :JOS ADDRESS' ..LOT# =M7- <br /> 4 SUBDI•VISION Qar pn ,- PARCELID#f <br /> J (OB.TAtNED=ER0M,P.ROPERTYTi4 -XOTICE)•: <br /> -WORK PROPOSED NEW CONSTR- 4DWALT � SIGN � 0 •DEMOLISH'. <br /> e INSTALL 8 REPAIR <br /> PROPOSED USE. SFR Q COMM OTHER w <br /> TiYPE OF CONSTRUCTION 0 BLOCK FRAME STEEL Q <br /> -DESCRIPTION OR WORK <br /> .BUILDING SIZE E _._ SQ-FOOYAGE.L___j :HEIGHT -I <br /> QBUILDING $ VALUATION OF'TOTAL CONSTRUCTION' <br /> t <br /> =F4ECTRICAL AMP'SERVICE 0 DUKE ENERGY' W.R.E.C. <br /> =PLUMBING $` <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS %F L0.Oa.ZQNE-AREA AYES . NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N_j FEE CURREN <br /> Address License# <br /> ELECTRICIAN. COMPANY <br /> SIGNATURE REGISTERS!)' Y/ N FEE CORREE • ' 'Y[N <br /> Address . License# <br /> PLUMBER �M. COMPANY �► S .-�/` <br /> SIGNATURE — -' REGISTERED, Y is N FEE CII(R`REh � <br /> Address License.# <br /> MECHANICAL .f;' COMPANY <br /> SIGNATURE' REGISTERED Y/ N I FEE CURREN <br /> Address License-#], <br /> OTHER COMPANY <br /> SIGNATURE REQI?9TERED• 'Y!.•N,,-.. ..• FEE,CURRER• .. Y.ri,Pi,.. <br /> -Address License# <br /> RESIDENTIAL Attadti-(2)=PidtPle6r,;,{2�-setrofl3ui►aiCg_i?l nsM1,.1).setofEriergyrFortns;.R.OjVVI:Fermitfornewconstructionu <br /> Mifiiiat m.teri.{10)Workirsg gays afte stibrt�tital dat : Ikeq Me bnsite';`Co'nstr"fiction Pians,S o'rni�uater Plans wl Silt Fence Installed, <br /> Sanitary:Faciiities&-,i;dumpster�Slfe Work,-Permit�'fbrsi►bdivi'sions/la'rge•prdjbcts' <br /> COMMERCIAL Attach(2).complete.setsaf.,Buitdiltg•PlansipiUs•atLlfe;:Safety.Page;{1,)'.set'of Energy,Foims.R 0=W Permit fdr:new construction. <br /> Minimum ten(10);wgrking;el ys—aftersubnilttal dates.l eggiirg Onsite;Construction,Plan%Starmwater,Plans•wi Silt'Fence instaifetl, <br /> Sanitary Facilities&1 dUftiptter.SIte drk P6rmlt for affnew projects.All'oommerciai.requirements must meet compliance <br /> SIGN PERMIT Attach 1;2)'sets.of I=Rl eered,,Pla'ns: <br /> ****PROPERTY SUI VE�'•'required for all'NEW cbRstruction, <br /> d71. <br /> Directions: <br /> Fill out application completely. <br /> Owner;&:Contractor sign,back of,;�ppiication,notarized <br /> If over $25tS0,a Notice of Commencement is required. (A/C upgr des over$75t)t)) <br /> ** Agent(for the contractor,)or Power-of•Attorney:(#or the owner).would be someone:with notarized-letter from-owner authorizing same <br /> OVER THE.COUNTER,,PERMITTING - (copy;of,contract.required) <br /> Reroofs if shingles Sewers Service 64pgra'des-A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />