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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 /> <br /> <br />Date Received <br /> <br />Owner's Name <br /> <br />Owner's Address I 3152 'E(O <br />Fee Simple Titleholder Namel <br /> <br />Fee Simple Titleholder Address <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />JOB ADDRESS <br /> <br />lOT # <br /> <br />WORK PROPOSED <br /> <br />B <br />D <br />D <br />I <br /> <br />NEW CONSTR <br />INSTAll <br />SFR <br />BLOCK <br /> <br />I <br />E3 <br />o <br />o <br /> <br />PARCELID#/l\ - d~-d\ - 00lb _ I ~6b .. <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN 0 MOVE D <br /> <br />SUBDIVISION <br /> <br />DO~D <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />ADD/All <br />REPAIR <br />COMM <br />FRAME <br /> <br />D <br />D <br />D <br /> <br />DEMOLISH <br /> <br />OTHER I <br />STEEL 0 <br /> <br />OTHER I <br /> <br />DESCRIPTION OF WORK <br /> <br />ELECTRICIAN I <br />SIGNATURE _ <br /> <br />Address I <br /> <br />PLUMBER I <br />SIGNATURE <br /> <br />Address I <br /> <br />I I <br /> <br />1.11111'I'II'II'III"II'llrllllllll'llrll~II'IIII'I"1"'1'11111'11111'1'111'1'11111'111'1'11111'11111'1111'11'11'1111'111"1"1111'11111'1111111 <br /> <br />D BUILDING 1$ \ u \.. \ ~ I VALUATION OF TOTAL CONSTRUCTION <br /> <br />D ELECTRICAL 1$ I AMP SERVICE 0 PROGRESS ENERGY <br /> <br /> <br />D PLUMBING 1$ I <br />D MECHANICAL r- I VALUATION OF MECHANICAL INSTALLATION <br /> <br />o GAS ~~'NG 0 SPECIALTY 0 OTHER <br />FINISHED FLOOR ELEVATIONS I f J- 'lO ----+- FLOOD ZONE AREA DYES DNO <br /> <br />11111111111111111111111111111111111111111111111111111111/1111111111111111111111111111111" 1111111111111111111111111I1111111111111I1I111111111111II <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />SQ FOOTAGE / <br /> <br />HEIGHT I <br /> <br />BUILDING SIZE <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />BUILDER I <br />SIGNATURE _ <br /> <br />I <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br />YI N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />license # <br /> <br />COMPANY <br />REGISTERED <br /> <br />YI N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />license # <br /> <br />COMPANY <br />REGISTERED <br /> <br />YI N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />license # <br /> <br />Address <br /> <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />YI N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <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 onsite, 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 />11111111/111111111111111111111.1111111111111111111111111111111111111111111111111111111111111111111111111111111111I111111111111111111111111111111111 <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 Fences (PloUSurvey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />