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<br />813-780-0020 <br /> <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br />Date Received <br /> <br />Owner's Name <br /> <br /> <br />Owner's Address I ~ <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 />Fee Simple Titleholder Address <br /> <br />JOB ADDRESS <br /> <br />LOT # <br /> <br /> I PARCEL ID#I II-LlJ:I..Z-i - 0010- 0/'406 _ 0010 <br /> (OBTAINED FROM PROPERTY TAX NOnCE) <br />NEW CONSTR B ADD/ALT D SIGN D MOVE D DEMOLISH <br />INSTALL REPAIR <br />SFR D COMM D OTHER I <br />BLOCK FRAME D STEEL D OTHER I <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />BUILDING SIZE <br /> <br />HEIGHT I <br /> <br />o <br /> <br />BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D I <br /> <br />D PLUMBING I <br /> <br />D MECHANICAL I <br /> <br />D GAS ROOFING D SPECIALTY D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />1111I11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I1111111111111111111I1I11I111111I1111111 <br /> <br />BUILDER I COMPANY I I <br />SIGNATURE REGISTERED Y / N FEE CURRENT Y / N <br /> <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />Address <br /> <br />License # <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y / N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br /> <br />COMPANY <br />REGISTERED <br /> <br /> <br />OTHER <br />SIGNATURE <br /> <br />Address License # <br /> <br />1111111111111111111111111111111111111111111111111111111111111111I11111111111111111111111111111111I111I111111111111111111I1111I11111111111111111111 <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 />1I111II111111I11111II11111111I1I11I11111111II11111111111111111111111111111111111I1111111111I111111I11I11111111I1I11111111I1I11I1111111111I1I111II1 <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 roadwaysooneeds ROW <br />