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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 />Date Received <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 />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br /> I PARCEL JD# I <br />NEW CONSTR B ADD/AL T 0 <br />INSTALL REPAIR <br />SFR D COMM 0 <br /> D FRAME 0 <br /> <br />LOT# I <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN 0 MOVE D DEMOLIsH <br /> <br />WORK PROPOSED <br /> <br />o <br /> <br />o ELECTRICAL I <br /> <br />o PLUMBING I <br /> <br />o MECHANICAL I <br /> <br />o GAS ROOFING D SPECIALTY 0 OTHER <br />FINISHED FLOOR ELEVATIONS f I FLOOD ZONE AREA DYES DNO <br /> <br /> <br />"",..,.."..".".",.....".",...."..".,.".,..,.."...,.."..,..,...,.."."......",."...,...,..,...,.,',.,',.,',......,......,......"'i <br /> <br /> <br />:'~~~~RE I I ~~:~':.': I Y IN", CU""',,, I Y I N I <br /> <br />Add.... I ,,""". # I <br /> <br />ELECTRICIAN I 1 COMPANY I <br />SIGNAtuRE . '"',*,_D Y I N "'CURReN' Y IN J <br /> <br />Add.... I "oeD" . I <br /> <br />;:c:':..~~~E [ I ~~:.':."~ Y IN", cu"",'" Y IN <br /> <br />Add.... I 'Ioeno. . I <br /> <br />MECHANICAL II COMPANY <br />SIGNATURE ~ . REGISTERED <br /> <br />BUILDING <br /> <br /> <br />OTHER I <br /> <br />I <br />I <br />I <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />DESCRIPTION OF WORK <br /> <br />OTHER <br />STEEL <br /> <br />I <br />o <br /> <br />BUILDING SIZE <br /> <br />HEIGHT I <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br /> <br />W.R.E.C. <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />~ .. <br />SIGNATUR <br /> <br /> <br /> <br /> <br />RESIDENTIAL <br /> <br />License # <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 onsite, 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 onsile, 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 />Directions: <br />Fill out application completely. <br />Owner & Contractor sign back of application, notarized <br />If over $2500, a Notice of Commencement Is required. (AlC 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 />)VER THE COUNTER PERMITTING (Front of Application Only) <br />Reroofs Sewers Service Upgrades NC Driveways Fences (Plol/Survey/Footage) <br /> <br />....: <br />