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<br />813-78~020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br />Owner's Name <br /> <br /> <br />Date Received <br /> <br />JOB ADDRESS <br /> <br />lHeiabJ ~l ~~l P RCELID# <br /> <br />D NEW CONSTR ADD/AL T D <br />D INSTALL REPAIR <br /> <br />PROPOSED USE D SFR 0 COMM D <br /> <br />TYPE OF CONSTRUCl10N D BLOCK 0 FRAME D <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />I <br />r-pS), cY9 <br /> <br />D ELECTRICAL 1$ I <br /> <br />o PLUMBING 1$ I <br />o MECHANICAL 1$ I <br /> <br />o GAS D ROOFING 0 <br /> <br />FINISHED FLOOR ELEVATIONS I I <br /> <br />o <br /> <br />BUILDING <br /> <br /> <br />SIGN D MOVE D DEMOLISH <br />OTHER <br />STEEL D OTHER <br /> ~' <br /> <br />DESCRIPl10N OF WORK <br /> <br />BUILDING SIZE <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 />SPECIALTY 0 <br />FLOOD ZONE AREA <br /> <br />OTHER <br />DYES <br /> <br />DNO <br /> <br />Address <br /> <br /> <br />(""\ <br />~D< ~'V <br /> <br />BUILDER <br />SIGNATURE <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />~ <br /> <br />FEE CURRENT <br /> <br />h>J1IJS6~~ <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />L!.l!:U <br /> <br />License # <br /> <br />Address <br /> <br />License # <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />~ <br /> <br />FEE CURRENT <br /> <br />L!.l!:U <br /> <br />Address <br /> <br />License # <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />~ <br /> <br />FEE CURRENT <br /> <br />L!.l!:U <br /> <br />Address <br /> <br />License # <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />~ <br /> <br />FEE CURRENT <br /> <br />L!.l!:U <br /> <br />Address <br /> <br />License # <br /> <br />RESIDENl1AL <br /> <br />Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms <br />Minimum ten (10) working days after submittal date. Required onsije. Construction Plans. Sanijary Facilities & 1 dumpster <br />Attach (3) sets of Building Plans; (1) set of Energy Forms. <br />Minimum ten (10) working days after sLbmittal date. Required onsije, Construction Plans, Sanitary Facilijies & 1 dumpster <br />All commercial requirements must meet compliance. <br />Attach (2) sets of Engineered Plans. <br />-PROPERTY SURVEY required for all NEW construction. <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <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. lAIC upgredes 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 Applicetion Only) <br />Reroofs SewersServi ce Upgrades AlC Fences (Plot/SurveylFootage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />