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<br />_ 813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />t-aX-lSl j- (lSU-UULl <br /> <br />Date Received <br /> <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Owner's Name <br /> <br />0,\\ <br /> <br />f)ve. <br /> <br />LOT # <br /> <br />SUBDIVISION <br /> <br />PARCEL 10#1 <br /> <br />(OBTAINED FROM PROPERTY TAX NOnCE) <br />SIGN D MOVE D <br /> <br />DEMOLISH <br /> <br />E3 NEWCONSTR [:=J ADDIALT D <br />INSTALL c:J REPAIR <br />PROPOSED USE D SFR 0 COMM D OTHER I <br /> <br />~:':::::S;=N F ,;:K ~4~ ~~ STEEL 0 OTHER I <br />~~:~?,'~~, ~~~"" ,I"..,..."......""".! 1~ ~~~~~~!,.......,",....,..,' ,I..., ,~"::~.!,.......""....""...."",..."""...,.. , <br />D BUILDING 1$ I <br />D ELECTRICAL 1$ I AMP SERVICE 0 PROGRESS / "" W,~:E:C <br /> <br />""D PLUMBING 1$ I ( '. ~tJ ) <br /> <br />D MECHANICAL 1$ I VALUATION OF MECHANICAL INSTAllATIO .../If J-~ <br /> <br />D GAS D ROOFING D SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br /> <br />111"""111'1""""'11""111"11"""'1""'1"""""'111111"1'11"111111"""1"1'1"""'1'1111""""""'1'1""111,""1111"""111 <br /> <br />I <br />I <br />I <br />I <br /> <br />WORK PROPOSED <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />BUILDER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />ELECTRICIAN I <br />SIGNATURE <br /> <br />Address I <br /> <br />License # <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 />License # <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br /> <br />License # <br /> <br />O(J~O~ <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 />OTHER <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 />, 111I1I1111 , 1111 , 11I1111111111 , III , , 11111111111111111111111 , 11I111111 , 111111111111111111111111111111111111111 , 1 , 1111111111111111111111111111111111 <br />RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-Q-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 subdivisions/large 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 />11111111111111 1111 11111111111111111111 11111111111111111111111111111 111111111111111111111111111 11111111111111111111111111111 i 1111111111111111 II 111I <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 NC Fences (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />