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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 />SUBDIVISION <br /> <br />I <br />I <br />! <br />~~~:w ~:'\~:RC~ ~~\~-~I()- ~B~: ~ L"'l 01 <br /> <br />(OBTAINED FROM PROPERTY TAX NOnCE) <br />D NEW CONSTR r=J ADD/AL T D SIGN D MOVE D <br />~ INSTALL D REPAIR <br />PROPOSED USE D SFR D COMM <br />TYPE OF CONSTRUCTION ~ BLOCK D FRAME <br /> <br />DESCRIPTION OF WORK "" ~ ~ r~~ D ~ <br /> <br />I SQ FOOTAGE I c, ;tCC"\ <br /> <br />Cl~1 ---OJ \ <br />.. . - , <br /> <br />c\- <br /> <br />~~~j <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number 1 <br /> <br />Owner Phone Number I <br /> <br />Owner's Name <br /> <br />~.,,~,- I 4'1 <br /> <br /> <br />Fee Simple Titleholder Name <br /> <br />Fee Simple Titleholder Address 1 <br /> <br />JOB ADDRESS <br /> <br />WORK PROPOSED <br /> <br />DEMOLISH <br /> <br />~ <br /> <br />OTHER LAP<<~"'^" ~\.- 'Q\c\~ <br />STEEL c==1 OTHER_ <br /> <br />~;\ \A.l'''5 f*' L/ <br />I HEIGHT I ~()' <br /> <br />BUILDING SIZE <br /> <br />D <br />D <br />D <br /> <br />D <br /> <br />1$ lit Ci?26 <br />1$ <br />1$ <br />1$ <br />GAS ~ <br /> <br />FINISHED FLOOR ELEVATIONS I <br /> <br />ROOFING <br /> <br />I <br />1 <br />I <br />1 <br />D <br />I <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />o <br /> <br />BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />ELECTRICAL <br /> <br />PLUMBING <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br />SPECIALTY D OTHER <br />FLOOD ZONE AREA DYES DNO <br />COMPANY <br />REGISTERED ~ FEE CURRENT ~ <br /> License # <br />COMPANY <br />REGISTERED ~ FEE CURRENT ~ <br /> License # <br />COMPANY <br />REGISTERED ~ FEE CURRENT ~ <br /> License # <br />COMPANY <br />REGISTERED Y/N FEE CURRENT ~ <br /> <br />MECHANICAL <br /> <br />BUILDER <br />SIGNATURE <br /> <br />Address <br /> <br />ELECTRICIAN I <br />SIGNATURE <br /> <br />Address I <br /> <br />PLUMBER I <br />SIGNATURE <br /> <br />Address I <br /> <br />MECHANICAL I <br />SIGNATURE . <br /> <br />Address <br /> <br /> <br />Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms <br />Minimum ten (10) wor1<ing 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) wor1<ing 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 />License # I <br /> <br />1 ~~'l~~~~~H <br /> <br />)..<1.5 License # <br /> <br /> <br />OTHER <br />SIGNATURE <br /> <br />Address <br /> <br />RESIDENTIAL <br /> <br />COMMERCIAL <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 />OVER THE COUNTER PERMlmNG (Front of Application Only) <br />Reroofs Sewers Service Upgrades AlC Fences (PloUSurveylFootage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />