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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 />Date Received <br /> <br /> <br />e... <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Namel <br /> <br />Fee Simple Titleholder Address I <br /> <br />,)CJ SJ ) <br /> <br />80ft.. <br /> <br />Rue:... <br /> <br />lOTi I S-J...... <br /> <br />PARcELlD#I/~-llJ- ).1- 0310-c)Cb!:X> -OS-:J...O <br />(OBTAINED FROM PROPERTY TAX NOnCE) <br />SIGN D MOVE D <br /> <br />JOB ADDRESS <br /> <br />PROPOSED USE <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />I <br />B <br />D <br />D <br />.4y4J-~ ,.) 1...":/"'1 <br /> <br />SQ FOOTAGE <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br />FRAME <br /> <br />D <br />D <br />D <br /> <br />DEMOLISH <br /> <br />SUBDIVISION <br /> <br />B <br />C2( <br />TYPE OF CONSTRUCTION D <br />OESCR'PTlOH O'WORK I Vk rz.:k <br />BUILDING SIZE j <br /> <br />I I , , . I II I J . I I , " , I , I I I I . . . . I , f . I pI. I . P I I , .. . . .. " , . I I , . I . .. , .. .. . , " I , H , I . " I " I .. I . , I pi" I II .. I .. pi I " . .. nil.. , I , Ifill. , I I I , !I . I I " ,. " .. .. I I <br /> <br />1$ '1 It I J, 0"'> <br />1$ <br />1$ <br /> <br />1$ <br />D GAS ~ ROOFING <br />FINISHED FLOOR ELEVATIONS I <br /> <br />WORK PROPOSED <br /> <br />OTHER <br />STEEL <br /> <br />I <br />D <br /> <br />OTHER I <br /> <br />HEIGHT I <br /> <br />D <br /> <br />BUILDING <br /> <br />I <br />I <br />I <br />I <br />D <br />I <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C, <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D <br />D <br />D <br /> <br />ELECTRICAL <br /> <br />PLUMBING <br /> <br />MECHANICAL <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />OTHER <br /> <br />DYES <br /> <br />DNO <br /> <br />1"'1"111111111'1'111111111111111111.111111111111111111111111111111111111111111111111111'111'1"1".111'111"111"1111'1"11111111111111111111111 <br /> <br />Y/ N FEE CURRENT <br /> LIcense # <br />YI N FEE CURRENT <br /> LIcense # <br />Y/N FEE CURRENT <br /> LIcense # <br />Y IN FEE CURRENT <br /> LIcense # <br /> <br />Y/N <br /> <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />BUILDER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br />ELECTRICIAN <br />SIGNATURE <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 />Address <br /> <br /> <br />Y/N <br /> <br />Address <br /> <br /> <br />OTHER <br />SIGNATURE <br /> <br />LIcense # <br /> <br />11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 111111111111111111111 111111111111111111111111111111 <br />RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construcllon. <br />Minimum ten (10) working days after submittal date. Required onslte, Construction Plans, Stormwater Plans w/ 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-Q-W Permit for new construction. <br />Minimum ten (10) working days after submittal date. Required onslte, Construction Plans, Stormwater Plans w/ Slit 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 />1111/11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 " 11111111 <br />Directions: <br />Fill out application completely. <br />Owner & Contractor sign back of application, notarized <br />If over $2500, a Notice of Commencement 15 required. (AlC upgrades over $5000) <br /> <br />Agent (ror Ihe conlraclor) or Power or 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 />Reroors Sewers Service Upgrades NC Fences (PloVSurvey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />