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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application r: /1 to II. <br />Building Department v' t <br /> <br />Fax-813-780-0021 <br /> <br />OWner's Name <br /> <br />Owner's Address I}; 2. r/ b q ft.., St <br />Fee Simple Titleholder Namel <br /> <br /> <br />OWner Phone Number <br /> <br />Owner Phone Number I <br /> <br />OWner Phone Number I <br /> <br />Date Received <br /> <br /> <br />Fee Simple Titleholder Address <br /> <br />JOB ADDRESS <br /> <br />C;2JC:, <br /> <br />qfh <br /> <br />S-t- <br /> <br />LOT # <br /> <br />PARCEL ID#I <br /> <br />E3 <br /> <br />PROPOSED USE D <br />TYPE OF CONSTRUCTION D <br /> <br />DESCRIPTION OF WORK I Re Roof <br /> <br />1'30 XhD I <br /> <br />0"'" ~~,:;;;~~"""'" [~"~ ~:".""". i"'" ~~~~~:~~ .~~ ~~~~~ :~~';;.~~~,~~"""""""""""""""""""'" , <br /> <br />D ELECTRICAL 1$ I AMP SERVICE D PROGRESS ENERGY D W.R.E,C, <br /> <br />D PLUMBING 1$ I <br /> <br />D MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION <br /> <br />D GAS D ROOFING D SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />11111111111111111111111111111111111111111111111111111111I11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <br /> <br />:~~~~RE ~ ~~~'::= ~~~'" VIN <br /> <br /> <br />License # I <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />I <br />~ <br />D <br />D <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />DEMOLISH <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />ADD/AL T <br />REPAIR <br />COMM <br />FRAME <br /> <br />D <br />D <br />D <br /> <br />OTHER <br />STEEL <br /> <br />I <br />o <br /> <br />OTHER Il?e POd;:: <br /> <br />BUILDING SIZE <br /> <br />SQ FOOTAGE I / '615 D <br /> <br />HEIGHT I <br /> <br />Address <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <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 /> <br />Y/N <br /> <br />Address <br /> <br />COMPANY <br />REGISTERED <br /> <br />PLUMBER <br />SIGNATURE <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 />COMPANY <br />REGISTERED <br /> <br />OTHER <br />SIGNATURE <br /> <br />Y/N <br /> <br />COMMERCIAL <br /> <br />Address License # <br />11111111111111111111111111111111111111111111111111111111I11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <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 subdivisions/large projects <br />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 />Attach (2) sets of Engineered Plans, <br />"..PROPERTY SURVEY required for all NEW construction. <br /> <br />SIGN PERMIT <br /> <br />DI~~~ii~~~': . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> <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 <br /> <br />Fences (Plol/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />