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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 />Date Received <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />I <br />E3 <br />D <br />D <br /> <br />WORK PROPOSED <br /> <br />B <br />o <br />o <br />I <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />DESCRIPTION OF WORK <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />LOT # <br /> <br />PARCELlD#1 \ \ - Q.(o-CY \ -DUlb_ 0. r~OO - Oa"50 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN 0 MOVE 0 <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br />FRAME <br /> <br />o <br />o <br />o <br /> <br />DEMOLISH <br /> <br />I <br />I <br />I <br /> <br />OTHER I <br />STEEL 0 <br /> <br />OTHER I <br /> <br />BUILDING SIZE I SQ FOOTAGE I HEIGHT I <br /> <br />..,....."."."......................,1,..............,1,.......11..,1111,..,1111,..........,11..11,...".......".."....."."....."...1,...11 <br /> <br />I VALUATION OF MECHANICAL INSTALLATION <br /> <br />~ECIALTY 0 OTHER . <br /> <br />I FLOOD ZONE AREA DYES DNO <br /> <br />D BUILDING 1$ <br />D ELECTRICAL 1$ <br />D PLUMBING 1$ <br />D MECHANICAL 1$ <br />D GAS 0 <br />FINISHED FLOOR ELEVATIONS I <br /> <br />ROOFING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E,C, <br /> <br />,."............."..."..."...,11,........,1........,...,111.,1111,..,11,....11...,1111,..........."...,1.,1,........,11,.,.....,..".,.,11,... <br /> <br />BUILDER <br />SIGNATURE <br /> <br />Y/N FEE CURRENT <br /> License # <br />Y / N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> License # <br /> <br />Address <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <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 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 />IIIIIIIIIIIIIIIIIIIII~IIIIIIIIIIIIII~..IIIII..IIIIIII~...IIIIIIIIIII..~IIIII~~~I~IIIIIIIIIIIIIIIIIII~~IIIIII11111~illl~I~.~lllllllllil~II~llllllli <br />Directions: <br /> <br />Address <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br /> <br />Address <br /> <br />OTHER <br />SIGNATURE <br /> <br />Address <br /> <br />RESIDENTIAL <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />COMPANY <br />REGISTERED <br /> <br /> <br /> <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 />OVER THE COUNTER PERMITTING (Front of Application Only) <br />Reroofs Sewers Service Upgrades NC Driveways Fences (Plot/Survey/Footage) <br />