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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 Address <br /> <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 />Owner's Name <br /> <br />Fee Simple Titleholder Address <br /> <br />WORK PROPOSED <br /> <br />I <br /> <br />o NEW CONSTR E3 ADD/AL T D <br />o INSTALL REPAIR <br />PROPOSED USE D SFR 0 COMM c=J OTHER I <br />TYPE OF CONSTRUCTION D BLOCK D FRAME c=J STEEL D <br /> <br />DESCRIPTION OF WORK I ~ <br /> <br />.U'LD'NGSOZE I .~ I UTAGEI I HEIGHT I I <br />TTlT"11111 , 1111 ' I , , I r 1111 1 1111111111111 ' I , II ' II , II ' 1111 ' I , 1 I ' III , II ' II I I , II t 11111 1 ' I , ; 11111 ' I , II . I . I , , II ' II ' I ' II 1 III , I ' 1111 ' 11111111 , II ' III ' 11111 <br /> <br />PARCEL ID#\ <br /> <br />~ <br /> <br />LOT # <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />D MOVE c=J <br /> <br />SIGN <br /> <br />DEMOLISH <br /> <br />OTHER I <br /> <br />0 BUILDING 1$ 1 VALUATION OF TOTAL CONSTRUCTION <br />D ELECTRICAL 1$ I AMP SERVICE D PROGRESS ENERGY 0 W.R.E.C. <br />D PLUMBING 1$ I <br />0 MECHANICAL ~~ I VALUATION OF MECHANICAL INSTALLATION <br />D GAS ROOFING D SPECIALTY c=J OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />1111111111111111111I111111111111111111111111111111111111111111I1111111111111I111II111111111111I1111I111111111111111I1111I1111111111I11111111111I11 <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 />BUILDER <br />SIGNATURE <br /> <br />Address <br /> <br />ELECTRICIAN I <br />SIGNATURE . <br /> <br />Address I <br /> <br />PLUMBER I <br />SIGNATURE <br /> <br />I <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />MECHANICAL I <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br /> <br />COMPANY <br />REGISTERED <br /> <br /> <br />OTHER <br />SIGNATURE <br /> <br />License # <br /> <br />Address <br /> <br />I""'.."'.."""""'.,.....""."'..""".""..",.."".",..""."".".""..",...,",..,.,"'"""".."""""."."""",..,',., <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 AlC Fences (PloUSurvey/Footage) <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) sets of Engineered Plans. <br />....PROPERTY SURVEY required for all NEW construction. <br /> <br />RESIDENTIAL <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />