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813-780.0020 City of Zephyrhills Permit Application Fax-813.780.00; <br /> Building Department <br /> Date t'teceived Phone Contact for Permitting <br /> .. ... ... <br /> Owner's.Name Owner Phone Number <br /> ` t Owner's Address Owner Phone Number <br /> �! Owner Phone Number. <br /> JOB ADDRESS' ..LOT# <br /> SUBDIVISION Parr— hGy' .0 PARCEL ID#E <br /> (OBTAINED{EROi.RRORERI'=Y.TAX,FIQTiOt)-. <br /> "WORK PROPOSED ' NBW CONSTR ADDJAtzT � SIGN <br /> rDEMOLISH' <br /> R <br /> INSTALL8 REPAIR <br /> PROPOSED USE. SFR �_] COMM OTHER <br /> TYRE OF CONSTRUCTION 0 BLOCK Q FRAME STEEL Q <br /> -DESCRIPTION OF WORK <br /> .BUILDING SIZE .1 SIiFOOTAGE+= ••HEIGiiT <br /> j =BUILDING $ VALUATION OF'TOTAL CONSTRUCTION' <br /> i <br /> ' =.ELECTRICAL J$ � AMP'SERVICE Q DUKE ENERGY' [� W.R.E.C. <br /> . <br /> =PLUMBING $` <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS 0 ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS '•Fia30D:20NE'AR5A =YES . NO <br /> .r <br /> BUILDER COMPANY <br /> SIGNATURE '' REGISTERED Y/ N FEE CURREN•. Y•/'N <br /> Address License# F _ I <br /> ELECTRICIAN, COMPANY <br /> SIGNATURE REGISTERS ' Y/':N 1*1 FEE CORREA <br /> Address . Llciahse#4 I <br /> PLUMBER COMPANY rr.W r-, <br /> SIGNATURE REGISTERED. - Y 7:N' 'I FEE CURREN <br /> Address License.# <br /> MEGHANI.CAL .r,' COMPANI' a. <br /> SIGNATURE REGISTERED Y/ N I FEE CURREN Y PN.J. <br /> Address <br /> OTHER COMPANY <br /> SIGNATURE REGISSTERED `Y%.•h(•,,,.;: FEECURREN• <br /> -Address License# T <br /> _ , .,,. <br /> RESIDENTIAL r n or Attach{2}=P(ot Pi'an ;,(2`se#s of°Baiidirlg i?lars.;. i),s'et.of EnexgyrFrizs;'Rfi0=1AI RerrriltYfbew=construction,, <br /> TMifiiinum ten:(70)Workirtg:tlays after subrfttsl tl4 to egUired brtsite;`Gansircctioti'Pians,8tdrmrraeyr Plans:+ !Silt Fence installed, <br /> Sanitary:Facilities k1.;.dumpster.,Site Wdrkl.Permit�for-tabdivisionsllarge•prdjects" <br /> COMMERCIAL Attach(2).+complete,sets-gf,,Butldin9-Planseplus a,L-Ife;§afety,Page;'(1:)'.set oflEnergyFerms.R-CrW Permit fdr-new construction. <br /> Minimum ten(1g)workingydaysjafte,,,submiIttal,dato..F�.. .,1rq!,cnsite;Construction,Planst;StormwaterPlans�w/Silt'Fencesinstalled, <br /> Sanitary Fadille6i&1 durripater.`Site'Work Permit for a(i'new projects.All'oommercial.requirements must most compliance <br /> SIGN PERMIT Attach(9)„sets.af]wngtP,@ered;'Plans: <br /> ****PROl#l!RTY Sj)'AV91Y'required for all'NEW cb6struction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&:Contractor sign.back of.;a�pplication,notarized <br /> 'If over'yigd6,a Notice bf'Commertcement is re4uired. (A!C upgrades coves$7500) <br /> *' Agent(for the contractor)or Power,of•Attorney,(for•the owner).would be someonewith notarized-letter from-owner authorizing same <br /> OVERTHECOUNTER=P..Ei,MMIT ING • (copy.;of•coritract.required) <br /> Reroofs if stiingies Sewers Service Upgrades,AX Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter If on public roadways..needs ROW <br />