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<br />E:13-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br /> <br />Date Received <br /> <br />...111.... <br /> <br />Owner's Na <br /> <br />Owner's Address <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />I <br />B <br /> <br />DSFR D <br />D BLOCK D <br />/J <br /> <br />I ~TAGEI <br /> <br />WORK PROPOSED <br /> <br />B <br /> <br />NEW CONSTR <br />INSTALL <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />LOT # <br /> <br />PARCELlD#1 <br /> <br />ADD/ALT D <br />REPAIR <br />COMM D <br />FRAME D <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />DEMOLISH <br /> <br />1 <br />D <br /> <br />OTHER <br />STEEL <br /> <br />OTHER I <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />D BUILDING 1$ <br />D ELECTRICAL 1$ <br />D PLUMBING 1$ <br />D MECHANICAL <br />D GAS ROOFING <br />FINISHED FLOOR ELEVATI <br /> <br /> <br /> <br />D <br />I <br /> <br />BUILDER <br />SIGNATURE <br /> <br /> <br />W.R.E.G. <br /> <br />HEIGHT <br /> <br />AMP SERVICE <br /> <br />D <br /> <br /> <br />VALUATION OF TOTAL CONSTRUC <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />'-"."'- <br /> <br /> <br />(/~5q~) <br />'-~ <br /> <br />DNO <br /> <br />SPECIALTY D OTHER <br />FLOOD ZONE AREA DYES <br /> <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y / N FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />ELECTRICIAN I <br />SIGNATURE . <br /> <br />Address I <br /> <br />PLUMBER I <br />SIGNATURE <br /> <br />I <br /> <br />LIcense # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y / N FEE CURRENT <br /> <br />Y/N <br /> <br />LIcense # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y / N FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />MECHANICAL I <br />SIGNATURE <br /> <br />LIcense # <br /> <br /> <br />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) sels of Engineered Plans. <br />""PROPERTY SURVEY required for all NEW construction. <br /> <br />Address <br /> <br />OTHER <br />SIGNATURE <br /> <br />Address <br /> <br />RESIDENTIAL <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />COMPAt4Y <br />REGISTERED <br /> <br />DI~~~ti~~~.: . . . I I . . I I I I . I I I I . I . . I . I I I I I I . . . . I I I I I I I I I I I I I . I I . . I I I I I . . I . I I I I I I . . I I . I I . I I I I . . I I . I . . . I I I I . . . . . I . I I I . . I I I I I I I I I I I . . . I I . I I . I . . . . . . . . . . . . <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 NC Fences (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />