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<br />613-760-0020 <br /> <br />City of Zephyrhills Pennit Application <br />Building Department <br /> <br />Fax-813-760-0021 <br /> <br /> <br />Date Received <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Name I <br /> <br />Fee Simple Titleholder Address <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />Fvll-- k <br /> <br /> <br />:r:,,-,c <br />51" <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />1 <br />1 <br />1 <br />I LOT # 1 1 <br />PARCEL 10#1 \ 4: -"d.<.o. (} \ - ono- 06666-, 06166 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />D SIGN D MOVE D <br /> <br />D <br />D <br /> <br />~ (0':', ~., <br /> <br />~o n \<: s-r- <br />I <br /> <br />B <br />D <br />D <br /> <br />E3 <br />D <br />D <br />1 <br /> <br />NEW CONSTR <br />INSTALL <br /> <br />DEMOLISH <br /> <br />ADDtAL T <br />REPAIR <br /> <br />COMM <br /> <br />FRAME <br /> <br />I <br />D <br /> <br />SFR <br /> <br />OTHER <br />STEEL <br /> <br />OTHER I <br /> <br />BLOCK <br /> <br />SQ FOOTAGE I <br /> <br />HEIGHT I <br /> <br />I <br />I <br />I <br />I <br />D <br />I <br /> <br />DNO <br /> <br />D BUILDING <br /> <br />~ECTRICAL <br /> <br />1$ <br />1$ <br />1$ <br />1$ <br />D <br /> <br />FINISHED FLOOR ELEVATIONS I <br /> <br />D <br />D <br /> <br />PLUMBING <br /> <br />MECHANICAL <br /> <br />D <br /> <br />GAS <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE ~ PROGRESS ENERGY <br />~D <br /> <br />W.R.E.C. <br /> <br />D <br /> <br />Z-SD - -- <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />ROOFING <br /> <br />OTHER <br />DYES <br /> <br />BUILDER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />~ <br /> <br />FEE CURRENT <br /> <br />~ <br /> <br />Address I <br /> <br />ELECTRICIAN / ~1 <br />SIGNATURE <br /> <br />License # <br /> <br />Address <br /> <br />7/~ <br /> <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY ~#4 ~/~~<<"" <br />REGISTERED N FEE CURRENT t N <br />qr License # I JEll 00 15-2. <t L( <br /> <br />COMPANY I <br />REGISTERED ~ FEE CURRENT ~ <br /> <br />Address <br /> <br />MECHANICAL I <br />SIGNATURE <br /> <br />Address I <br /> <br />OTHER I <br />SIGNATURE <br /> <br />Address I <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED ~ FEE CURRENT ~ <br /> License # <br />COMPANY <br />REGISTEREO ~ FEE CURRENT ~ <br /> License # <br /> <br />RESIDENTIAL <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <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 Facilrties & 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 />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 of Application Only) <br />Reroofs Sewers Service Upgrades AlC <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br /> <br />Fences (PloUSurveytFootage) <br />