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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 />Owner's Address <br /> <br />Fee Simple Titleholder NamJ <br /> <br /> <br />Date.Received <br /> <br />NEW CONSTR <br />INSTALL <br /> <br />I <br />I <br />I <br />I LOT# I I <br />PARCELlD#103 - 2<0 ~d-\- OI'2.0-QOCOO-IO(oLJ <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Owner's Name <br /> <br />Fee Simple Titleholder Address <br /> <br />JOB ADDRESS <br /> <br />WORK PROPOSED <br /> <br />B <br /> <br />I <br />B <br />DSFR 0 <br />D BLOCK ,0 <br /> <br />I~ <br /> <br />-~ S FOOTAGE I <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br />FRAME <br /> <br />D <br />D <br />D <br /> <br />DEMOLISH <br /> <br />SUBDIVISION <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />OTHER <br />STEEL <br /> <br />I <br />D <br /> <br />OTHER I <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br /> <br />HEIGHT I <br /> <br />D BUILDING <br /> <br />D <br /> <br />D <br /> <br />D MECHANICAL <br /> <br />D GAS <br />FINISHED FLOOR ELEVATIONS I <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />ROOFING <br /> <br />I <br />I <br />I <br />o <br />I <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />OTHER <br />DYES <br /> <br />DNO <br /> <br />.'....11'...11....111..111..11..1111...111...111....11...........111........11111.........111.....11...11.........111........11..11111...11.11.111 <br /> <br />BUILDER COMPANY <br />SIGNATURE REGISTERED Y/N FEE CURRENT <br />Address License # <br />ELECTRICIAN I COMPANY <br />SIGNATURE REGISTERED Y / N FEE CURRENT <br />Address I License # <br />PLUMBER I COMPANY <br />SIGNATURE REGISTERED YI N FEE CURRENT <br />Address I License # <br />MECHANICAL I COMPANY <br />SIGNATURE REGISTERED Y/N FEE CURRENT <br />Address <br />OTHER <br />SIGNATURE <br />Address <br /> <br />Y/N <br /> <br />Y/N <br /> <br />Y/N <br /> <br />Y/N <br /> <br />11111111"1111111111111'1111111111111"1111111111"111111111111111111111111111"'1111'1111'1111111,111111'"1111"'1'11,,1'11'..11111111'1'1111'1' <br /> <br /> <br /> <br /> <br />11111111~~1111111111111141111.1111111..111111111'1,1111111,.IIIII,IIIII.IIIIII.IIIIIIIIIIIII..IIIIII...~~111I..III..IIII~~IIIIIII~IIIIII..IIIIIIII <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 />OVER THE COUNTER PERMITTING (Front Df Application Only) <br />Reroofs Sewers Service Upgrades AlC Fences (Plot/Survey/Footage) <br /> <br />Attach (2) PIDt Plans; (2) sets Df Building Plans; (1) set Df Energy Forms <br />Minimum ten (10) working days after submittal date. Required Dnsite, 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, ConstructiDn Plans, Sanitary Facilities & 1 dumpster <br />All commercial requirements must meet compliance. <br />Attach (2) sets Df Engineered Plans. <br />'--'PROPERTY SURVEY required for all NEW constructiDn. <br /> <br />RESIDENTIAL <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />