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<br />813-780-00fO <br />. <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br />*~33 <br /> <br />Owner's Address <br /> <br />Fee Simple Tltlehol er 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 Tltlehol er Address I <br /> <br />Is\r7 <br />I <br /> <br />~cJ.\ fJ\U~. <br /> <br />LOT # <br /> <br />I <br />I <br />! <br /> <br />~ I'D' \\ .,l <br /> <br />I <br /> <br />JOB ADDRESS <br /> <br />DESCRIPTION OF <br /> <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />PARCEL 10#1 \\ - ~ - J.--\ - CC-\O.- \lo<':'(O - 0\60 <br />(OBTAINED FROM PROPERTY TAX NOTiCe) <br />SIGN D MOVE 0 <br /> <br />DEMOLISH <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />PROPOSED USE <br />TYPE OF CONSTR <br /> <br />OTHER <br />STEEL <br /> <br />I <br />D <br /> <br />OTHER I <br /> <br />BUILDING SIZE <br /> <br />HEIGHT I <br /> <br />D BUILDIN <br /> <br />1$ Y1.l50. CD <br />1$ <br />1$ <br /> <br /> <br /> <br />~ ROOFING <br /> <br />I <br />I <br />I <br />~ <br />D <br />I <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D W.R.E.C. <br /> <br />/ <br />J00 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D ELECTRI <br />D <br />D <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />D GAS <br />FINISHED FLOOR <br /> <br />SPECIALTY D OTHER <br />FLOOD ZONE AREA DYES <br /> <br />DNO <br /> <br />Address <br /> <br /> <br /> <br />YI N FEE CURRENT <br /> License # <br />Y I N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> License # <br /> FEe CURRENT <br /> <br />Y/N <br /> <br />BUILDER <br />SIGNATURE <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />Y/N <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />Y/N <br /> <br />Address <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />Y/N <br /> <br />Address <br /> <br />OTHER <br />SIGNA lURE <br /> <br />Address <br /> <br />License # <br /> <br />I <br />~ 13.d-SSOS- <br /> <br />RESIDENTIAL <br /> <br />Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-(}.W Permit for new construction, <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 />Attach (3) sets of Building Plans; (1) set of Energy Forms. R-O-W Permit for new construction. <br />Minimum len (10) working days after submittal dale. Required onslte, Construction Plans, Slormwaler Plans w/ Slit Fence Installed, <br />Sanitary Facilities & 1 dumpster. Slle Work Permll for all new projects. All commercial requirements musl meel compliance <br />Attach (2) sels of Engineered Plans. <br />....PROPERTY SURVEY required for all NEW construction. <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Directions: <br />Fill oul appllcati n completely. <br />Owner & Contr lor sign back of application, notarized <br />If over $2500, Notice of Commencement Is required. (AlC upgrades over $5000) <br /> <br />Agent (for the c ntractor) or Power of Attorney (for Ihe owner) would be someone with notarized letter from owner authorizing same <br /> <br />OVER THE COUNT R PERMITTING (Front of Application Only) <br />Reroofs Sewers Service Upgrades NC Fences (PloVSurvey/Foolage) <br /> <br />Drlveways-Nol ver Counter if on public roadways..needs ROW <br />