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813-780-0020 City of Zephyrhills Permit Application Fax-813-780.00
<br /> ' Building Department
<br /> Date 12eceived
<br /> r .Phone Contact for Permitting
<br /> z
<br /> : Owner's.Name Owner Phone Number
<br /> ' n -.Owner's Address Owner Phone Number
<br /> Owner Phane Number
<br /> JOB•ADDRESS' LOT# �s
<br /> suBDIVISION PARCEL ID#
<br /> (0BTAINED FROM.Pi20P,ERTYTAX,F TICE),;
<br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN [� [ -DEMOLISH
<br /> e INSTALL 8 REPAIR
<br /> PROPOSED USE. SFR Q COMM OTHER
<br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL Q
<br /> -DES.CRIPT.ION OF WORK
<br /> BUILDING SIZE .� .SQ-FOOTAGE:C_________j .HEIGHT •1
<br /> =BUILDING $ VALUATION OF'TOTAL CONSTRUCTION'
<br /> i
<br /> Q-ELECTRICAL $ �4 AMP'SERVICE DUKE ENERGY' Q W.R.E,C.
<br /> OPLUMBING $ � . •
<br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION
<br /> =GAS ROOFING C] SPECIALTY OTHER
<br /> FINISHED FLOOR ELEVATIONS ••.FLQODf 2QNE'AREA YES . NO
<br /> F
<br /> BUILDER COMPANY
<br /> SIGNATURE '' REGISTERED I Y( N FEE CURREN Y•1'N
<br /> Address License#
<br /> ELECTRICIAN- COMPANY
<br /> SIGNATURE REGISTERED' Y/%N FEE CORREn
<br /> Address . 'License#•C
<br /> PLUMBERco
<br /> MPANY "
<br /> SIGNATURE 'r -REGISTERED. Y I:
<br /> Address License.# L
<br /> MECHANICAL .:;' COMPANY
<br /> SIGNATURE' REGISTERED I Y/ N I FEE CURREN Y PN.
<br /> Address License4F777 y
<br /> OTHER COMPANY
<br /> SIGNATURE Rl"-QSTERED Yf,N•,,..., , FEE CURREN: .• YIN.
<br /> ,Address License
<br /> ,t ..�,.t. .•4. •i,
<br /> RESIDENTIAL Attach=(2)'P1at Plan ;.(2}''45etsof'Buildir g.P{aril;,.1),s'ett,of Enggy-Forms;'R 0 X U'Permit,fornew, .nstruction,,
<br /> :MiiafiinGm ten(10').Wbrking'.`days after subrifilttal te:hRedui's'ed onsite;`GUnsi�I"ction'Plans,Siormuta(er Plans IVY Siit Fence insfall.ed,
<br /> Sanitary:Facilities 3,,•1.rdumpster.,Site Work-.Permit,for=subdivisions/large•prdjects'
<br /> COMMERCIAL Attach(2)pomplete,sets-of•,Building•Planstiplus••aeLifo,,$afetyb.Page;'(1..)'.set'of,Energy.Forms.R-O=W Permit fdr.new construction.
<br /> Minimum ten(10);working}days afte ' 6Vrsubr ittal.date.,9,egyrlr,ed=dnslte;Construction,Pianp%,Stormwater Plans:•w/Siit'Fence••installed,
<br /> Sanitary Facilities&1 dUrrip'st'er.Sffd k Permif for ali'new projects.All commercial.requirements must meet compliance
<br /> SIGN PERMIT Attach(2)-sets.of Engineered;Rlans.
<br /> "PROPERTY$,U'KVE,Y.'requlretl for all'NEW construction.
<br /> Directions:
<br /> Fill out application completely.
<br /> Owner•&:Contractor sign.back of,;applieation,notarized
<br /> 'If over$25UU,a Notice af:Commencement is required. (A/C upgrades over$7500)
<br /> *" Agent(for the contractor,)or.Power.oi.Attorney,(for the©wner).wouid be someone,with notarized-letter from-owner authorizing same
<br /> OVER THE.COU,NTER,AERM][W—ING • (oopy;'of•corltract,required)
<br /> Reroofs if sfiingies Sewers Service Upgrades:A/C Fences(Plot/Survey/Footage)
<br /> Driveways-Not over Counter If on public roadways..needs ROW
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