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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 />Wle '}1 (p <br /> <br /> <br />Date Received <br /> <br />co, Rbi .5 'f {~. <br /> <br />:L-#/(cs;:. <br /> <br />~. <br />I <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number L <br /> <br />Owner's Name <br /> <br />I <br />I <br />I <br />I ~7 I <br />I <br /> <br />Fee Simple Titleholder Address <br /> <br />DESCRIPTION OF WORK <br /> <br />B <br />D <br />D <br />I <br /> <br />NEW CONSTR E3 <br />INSTALL <br />SFR c==J <br />BLOCK c==J <br /> <br />A i-urY\ (AIU/\-t <br />, <br /> <br />I SQ FOOTAGE I <br /> <br />2~#/LL5, ~C. .--J LOT # <br />" <br /> <br />PARCELID#IO;(-2b-2/- OoID- 0.5"000 - 003 c <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />D <br /> <br />D OTHER <br />D STEEL D <br /> <br />o Cj elL <br /> <br />I HEIGHT I <br /> <br />DEMOLISH <br /> <br />SUBDIVISION <br /> <br />I 3 1) 7t.f / co, IUJ 5-'1 E/lq'" <br />15cEEPY !--Icx-~CLU 7L I <br /> <br />JOB ADDRESS <br /> <br />WORK PROPOSED <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br />FRAME <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />OTHER I <br /> <br />R Oc;y= <br /> <br />BUILDING SIZE <br /> <br />11...111....11........111......11.....11.11...11......1111111..1..........111.........11111.....111....11.11"'111,".""111111"'."1111111111111 <br /> <br />D BUILDING 1$ <br />D ELECTRICAL 1$ <br />D PLUMBING 1$ <br />D MECHANICAL 1$ <br />D D <br /> <br />/bOQ~ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />ROOFING <br /> <br />I <br />I <br />I <br />I <br />c==J <br />I <br /> <br />AMP SERVICE <br /> <br />c==J <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C, <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br /> <br /> <br />SPECIAL TV D <br />FLOOD ZONE AREA <br /> <br />OTHER <br />DYES <br /> <br />DNO <br /> <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br /> License # <br />Y / N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> License # <br />Y/ N FEE CURRENT <br /> License # <br /> <br />Address <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />111111111111111 1I11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <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 w/ 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 />11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I11111111111111111111111111111111111111 <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 />