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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 />Date Recei'ved <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 />Owner's Address <br /> <br />Fee Simple Titleholder Namel <br /> <br />JOB ADDRESS <br /> <br />Fee Simple Titleholder Address I <br /> <br />Isol/s <br />I <br /> <br />(JAil <br /> <br />/Jjvj <br /> <br />LOT # <br /> <br />I <br /> <br /> <br />D ADD/ALT D <br />D REPAIR <br /> <br />c==J COMM DOTHER <br /> <br />c==J FRAME D STEEL D <br /> <br />1,ft;S.1A// hiu. ~'(/jJfbwj.Y'lJ~ t'fS1e/>"L (;0- ;(;ldtlJ JlC7()j <br /> <br /> <br />SQ FOOTAGE I I HEIGHT I <br /> <br />PARCEL 10#1 <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />B <br />D <br />D <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />DEMOLISH <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />OTHER I <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />...1111....11........111..111.11........................'111..111........111.....111..11.11.....11....11..11.11.....11.11111.................111.. <br /> <br />1$ <br /> <br />1$ <br /> <br />1$ <br /> <br />r:!R MECHANICAL 1$ \ SOt> ' 00 <br /> <br />c=J GAS D <br />FINISHED FLOOR ELEVATIONS I <br /> <br />c=J <br /> <br />ROOFING <br /> <br />I <br /> <br />I AMP SERVICE <br />I ", '0& <br />~ <br />I ~ <br /> <br />I VALUATION OF MECHANICAL INSTALLATION (/ _ ~~(..~~) <br /> <br />c==J SPECIALTY D OTHER f1lD fi'--" <br />I FLOOOZONEAREA DYES ONO ~ <br /> <br />D <br /> <br />-~. <br />dfL 3 S..d5 tv <br /> <br />PROGRESS ENERGY 0 W.R.E.C. <br /> <br />~~.~ <br /> <br />_.._-~... <br /> <br />BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D <br />D <br /> <br />PLUMBING <br /> <br />ELECTRICAL <br /> <br />'1'111111111"'11111111111111111111'1111111"'11111111111111"'111""'11"111111111""""""111""'11""'11'-1""""11111"""""1"'1'1 <br /> <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />tf-~ hq~J0/:kG I <br />Y I N I FEE CURRENT I Y I N I <br /> <br />License # I ~ I -5- tJ1 b ;; t/ (if I <br /> <br />1111111I111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <br /> <br />BUILDER <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 />ELECTRICIAN <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 />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 I N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br /> <br />License # <br /> <br />OTHER <br />SIGNATURE <br /> <br />Address <br /> <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 Silt Fence installed, <br />Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisionsllarge 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 w/ Silt 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 />1111111111111111111111111111111111111111111111111111111I11111111111111111111111111111111I111111111111111I111IIII111111I1111I1I1111111I111111111111 <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 />