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<br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br />Date Received <br /> <br />Owner's Name <br /> <br />JOB ADDRESS <br /> <br />I <br />:;%D;Al <br /> <br />DESCRIPTION OF <br /> <br /> <br />E3 <br />D <br />D <br />I <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />Mar ktt ~ U/,l% e.. ,I LOT # I <br />I PARCELlD#1 O~-:J.h-~I- oOtO-oLfooo --0050 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />[==:J ADD/All D SIGN D MOVE D DEMOLISH <br />D REPAIR _--' '--- L <br />D COMM ['?] OTHER rTllQl ~ Ale s~~~r. <br />D FRAME D STEEL D ~ _ <br /> <br />I <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSE <br /> <br />PROPOSED USE <br />TYPE OF CONSTR CTION <br /> <br />BUILDING SIZE <br /> <br />SQ FOOTAGE I <br /> <br />HEIGHT I <br /> <br />D BUILDIN <br />D ELECTRI <br /> <br />1$ <br />1$ <br />1$ <br />1$ III t1 D '1 . 00 <br />D ROOFING <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 />m <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />D GAS <br />FINISHED FLOOR <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />OTHER <br />DYES <br /> <br />DNO <br /> <br /> <br />Address <br /> <br /> <br /> <br />COMPANY 1 <br />REGISTERED YI N FEE CURRENT Y/N <br /> License # I <br />COMPANY I <br />REGISTERED YI N FEE CURRENT Y/N <br /> License # I <br />COMPANY I <br />REGISTERED YI N FEE CURRENT Y/N <br /> License # I I <br />COMPANY I 0+;1; ~ It {f 1::!.,'rIf-~i I I <br />REGISTERED <br /> License # I GACoS-g515 I <br /> I <br /> Y/N FEE CURRENT YIN <br /> License # I <br /> <br />BUILDER <br />SIGNATURE <br /> <br />ELECTRICIAN <br />SiGNATURE <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />Address <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />Address <br /> <br />OTHER <br />SIGNATURE <br /> <br />Address <br /> <br /> <br />RESIDENTIAL <br /> <br />ttach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction, <br />inimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans wi Silt Fence Installed, <br />anitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects <br />ttach (3) sets of Building Plans; (1) set of Energy Forms. R-O-W Permit for new construction. <br />lnlmum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br />anitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance <br />ttach (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 appllcatl completely. <br />Owner & Contra tor sign back of application, notarized <br />If over $2500, a otlce of Commencement Is required. (A1C upgrades over $5000) <br /> <br />Agent (for the co tractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same <br /> <br />OVER THE COUNTE PERMITTING (Front of Application Only) <br />Reroofs Service Upgrades A1C Fences (Plot/Survey/Footage) <br /> <br />Driveways-Not ver Counter if on public roadways..needs ROW <br />