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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 /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Namel <br /> <br />Owner Phone Number <br /> <br />OWner Phone Number I <br /> <br />OWner Phone Number I <br /> <br />OWner's Name <br /> <br />(~ - <br /> <br />-~ <br /> <br />Fee Simple Titleholder Address <br /> <br />JOB ADDRESS <br /> <br />LOT # <br /> <br />DESCRIPTION OF WORK <br /> <br />E1 <br />D <br />D <br />I <br /> <br /> I PARCEL ID#I 0~ -d~-;> \ - b \ 'io - OOOCxJ --0\ (0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br />NEW CONSTR B ADD/ALT D SIGN D MOVE D DEMOLISH <br />INSTALL REPAIR <br />SFR D COMM D OTHER I <br />BLOCK D FRAME 0 STEEL D OTHER I <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />BUILDING SIZE I SQ FOOTAGE I HEIGHT I <br />1'111111'11111111111111111111'1'11111111"""'11111111111111'1""1"11111111111"1'111111111111111111111111111111111111111"1'1'111111'1111'1'11 <br /> <br />0 BUILDING 1$ <br />0 ELECTRICAL 1$ <br />0 PLUMBING 1$ <br />0 MECHANICAL <br />0 GAS ROOFING <br />FINISHED FLOOR ELEVATI <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 /> <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />D <br /> <br />SPECIALTY D OTHER <br />FLOOD ZONE AREA DYES <br /> <br />DNO <br /> <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 Y / N FEE CURRENT <br />Address I License # <br />MECHANICAL I COMPANY <br />SIGNATURE REGISTERED <br />Address <br />OTHER <br />SIGNATURE <br /> <br />Y/N <br /> <br />Y/N <br /> <br />Y/N <br /> <br />Address License # <br /> <br />11111I1111111I11111111111111II111II1111I111111II11111I1111II1111111111I111111I11111I111I11111111111111111111I11I11111111I1111111111111111I1I1I1111 <br />RESIDENTIAL 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 />COMMERCIAL Attach (3) sets of Building Plans; (1) set of Energy Forms. <br />Minimum ten (10) working days after submittal date. Required onslte, Construction Plans, Sanitary Facilities & 1 dumpster <br />All commercial requirements must meet compliance. <br />SIGN PERMIT Attach (2) sets of Engineered Plans. <br />....PROPERTY SURVEY required for all NEW construction. <br />11111111111111111111111111111111111111111II111111111111111111111111111111111111111I1111111I1111I1111111111I1111111111111I1111111111111111111111111 <br />Directions: <br />Fill out application completely. <br />Owner & Contractor sign back of application, notarized <br />If over $2500, a Notice of Commencement 15 required. CAlC upgrades over $5000) <br /> <br />Agent (for the contractor) or Power of Attomey (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 Fences (Plot/Survey/Footage) <br /> <br /> <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />