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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 />Owner's Name <br /> <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number r <br /> <br />6vvll.er Phone Number I <br /> <br />Date Received <br /> <br />SUBDIVISION <br /> <br />S~'\ Aue <br /> <br />I PARCELlD#1 <br /> <br />o NEWCONSTR r==I ADD/ALT 0 <br />D INSTALL D REPAIR <br />PROPOSED USE 0 SFR 0 COMM 0 <br />TYPE OF CONSTRUCTION 0 BLOCK 0 FRAME 0 <br /> <br />DESCRIPTION OF WORK I ~ <br /> <br />BUILDING SIZE - . I SQ FOOQGE r I "EIOIfT I I <br />11111111'11111111'11'11'1111111'11111'11111'111111'1'1I'll 1111'1'11'11'11'11'1'11'111;'1111'11'1'11111'1111111"1111"1111'1'11'111111111'1"1'1' <br /> <br />3'8 {o"36 <br /> <br />LOT # <br /> <br />JOB ADDRESS <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE 0 <br /> <br />DEMOLISH <br /> <br />WORK PROPOSED <br /> <br />OTHER <br />STEEL <br /> <br />I <br />D <br /> <br />OTHER I <br /> <br />o BUILDING 1$ dY ~O. CJi) <br /> <br />o ELECTRICAL 1$ <br /> <br />D PLUMBING 1$ <br /> <br />D MECHANICAL 1$ <br /> <br />D GAS 0 ROOFING 0 SPECIALTY 0 OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII!IIIIIIIII11111111111111111111111111111111111111111I11111111111111111111111111111111111111111111111111 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />BUILDER COMPANY <br />SIGNATURE REGISTERED Y I N FEE CURRENT <br />Address License # <br />ELECTRICIAN I COMPANY <br />SIGNATURE REGISTERED Y I N FEE CURRENT <br />Address I License # <br />PLUMBER I COMPANY <br />SIGNATURE REGISTERED YI N FEE CURRENT <br />Address I License # <br />MECHANICAL <br />SIGNATURE <br />Address <br />OTHER <br />SIGNATURE <br /> <br />Y/N <br /> <br />Y/N <br /> <br />Y/N <br /> <br />Address License # <br />11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <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 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 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 /> <br /> <br /> <br />1'.......11....11.11.......11111.111..,.......1111.111..11...11.111...........11.........11...111.....11..11...11...111....11.11.............11111 <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 />