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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br />, <br />D;tte J~eceive~ <br /> <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Nam <br /> <br />Fee Simple Titleholder Address <br /> <br />WORK PROPOSED <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />I <br />E3 <br />D <br /> <br />I LOT # <br /> <br /> <br />PARCELlD#1 \1- dtp-"d ( _ 00\0-- 05\bO- 00\0 I <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br /> <br />SIGN D MOVE 0 <br /> <br />D <br />o <br />o <br /> <br />DEMOLIsH <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br />FRAME <br /> <br />OTHER I <br />STEEL D <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />OTHER I <br /> <br />I <br />I <br /> <br />BUILDING SIZE sa FOOTAGE I HEIGHT I <br /> <br />...11...11.......11..11...11......11111.....111........11..........111111..11..11...11.......1..11...............1.....11.....111.....111111...... <br /> <br />0 BUILDING 1$ I VALUATION OF TOTAL CONSTRUCTION <br />0 ELECTRICAL 1$ I AMP SERVICE D PROGRESS ENERGY D W.R.E.C. <br />0 PLUMBING 1$ I <br />0 MECHANICAL ~/ I VALUATION OF MECHANICAL INSTALLATION <br />0 GAS ROOFING D SPECIALTY 0 OTHER <br />FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA DYES DNO <br />BUILDER <br />SIGNATURE <br /> Address License # <br />ELECTRICIAN COMPANY <br />SIGNATURE REGISTERED Y/N FEE CURRENT Y/N <br /> Address License # <br />PLUMBER COMPANY <br />SIGNATURE REGISTERED Y/N FEE CURRENT Y/N <br /> Address License # <br />MECHANICAL COMPANY <br />SIGNATURE REGISTERED Y/N FEE CURRENT Y/N <br /> Address License # <br />OTHER COMPANY <br />SIGNATURE REGISTERED Y/N FEE CURRENT Y/N <br /> Address License # <br /> <br /> <br /> <br />RESIDENTIAL <br /> <br />11'1'1 r . III , rill r I r , II r I , I r I , I r r I" III" , , II" I r , , II . . f II . Willi , III11 , , II . III . , III1 . , rill' , rill' IIII , , 1111111" r , , r II , , 111 . , , IIII , , III . , III , r II r , IIIII <br /> <br />COMMERCIAL <br /> <br />Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms <br />Minimum ten (10) working days after submittal date. Required onsile, Construction Plans, Sanitary Facilities & 1 dumpster <br />Attach (3) sets of Building Plans; (1) set of Energy Forms. <br />Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster <br />All commercial requirements must meet compliance. <br />Attach (2) sets of Engineered Plans. <br />....PROPERTY SURVEY required for all NEW construction. <br /> <br />SIGN PERMIT <br /> <br />II~,III~IIIL.III.II"III.II~I.IIII,III.,II"II.I~IIII~..IIII.IIIIIIIIIIIIIIIII~.IIIIIIIIIII.IIII.IIII.IIIIII1IIIIIi".IIII.IIIII.III&.llllllllllli <br />Directions: <br />Fill out application completely. <br />Owner & Contractor sign back of application, notarized <br />If over $2500, a Notice of Commencement is required. (A1C upgrades over $5000) <br /> <br />Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same <br /> <br />OVER THE COUNTER PERMITTING (Front of Application Only) <br />Reroofs Sewers Service Upgrades NC Driveways Fences (Plot/Survey/Footage) <br />