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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />t-aX-!l1 J-/!lU-UU:.!l <br /> <br />Date Received <br /> <br /> <br />-#- 0 fiB <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Namel <br /> <br />r- <br />t:: <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Owner's Name <br /> <br />JOB ADDRESS <br /> <br />Fee Simple Titleholder Address I <br /> <br />1-3~~3~ <br />I <br /> <br />5 ;::;-tJc <br />I <br /> <br />D NEW CONSTR c=:J ADD/ALT D <br />D INSTALL CJ REPAIR <br />PROPOSED USE D SFR D COMM D <br />TYPE OF CONSTRUCTION D BLOCK D FRAME D <br /> <br />DESCRIPTION OF WORK I / rr .41/ -h 0 ;tJ E)C', % f\) <br /> <br />BUILDING SIZE I .SQ FOOTAGE I I HEIGHT I <br />I , t , I , , I . ~ . I I . . I . . I . I I . I I I . . I I I . I I I . . . , . , , I I . I I . I . I . . I . , . . . I . . . I I . . . I . . . . I . I . I I . . I I I . . . . . . . I It. . . I I I . I . . , , , I t I I . . . . . I I I I I . . I I , . , I . I I . I I I . , r . . . . . I . <br /> <br />lOT# I <br /> <br />SUBDIVISION <br /> <br />PARCEL ID#I <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />DEMOLISH <br /> <br />WORK PROPOSED <br /> <br />OTHER I <br />STEEL D <br /> <br />OTHER I <br /> <br />OTHER <br />SIGNATURE <br /> <br />D BUILDING 1$ <br />o ELECTRICAL 1$ <br /> <br />D PLUMBING 1$ /15 00 <br /> <br />D MECHANICAL 1$ <br /> <br />D GAS D ROOFING D SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES [K]NO <br /> <br />~~:~~'~:III"'!'~~"""'~"<'~~""'/""""""'<""""""'~~~;:""'~~~~'<;q';;;:-""'I <br />SIGNATURE~ ry ~y-- "'",STEREO: Y i N I FEE CURRENT . .. Y I N <br />Address . License # I I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <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 />VALUATION OF MECHANICAL INSTALLATION <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 />YI 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 />YI N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />YI N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />111111111111111 1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <br />RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction, <br />Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans wi Sill Fence Installed, <br />Sanitary Facilities & 1 dumpster; Site Work Permit for subdivislonsllarge projects <br />COMMERCIAL Attach (3) sets of Building Plans; (1) set of Energy Forms. R-O-W Permit for new construction. <br />Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans wi Slit Fence installed, <br />Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance <br />SIGN PERMIT Attach (2) sets of Engineered Plans. <br />....PROPERTY SURVEY required for all NEW construction. <br />1111111111111111111111111111111111111111111111111111 " 1/11111111111111111111111111111111111111111111111111111111111111II11I1III111I11I11111111111I <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 (PloVSurvey/Footage) <br /> <br />License # <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />