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<br />City of Zephyrhills Permit Application <br />Building Department <br /> <br /> <br />Date Received <br /> <br />/ Owner's Name <br /> <br />/ <br /> <br />Fee Simple Titleho der Name <br /> <br />Fee Simple Titleho der Address <br /> <br />Fax-813-780-0021 <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />If Owner Phone Number I <br /> <br />/ JOB ADDRESS 5~ If,;} ~ g-rfrS--/- 7-r pf,yrWJ, n. 33S-'7/a- LOT # <br /> SUBDIVISION I PARCELlD#1 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSE B NEW CONSTR E3 ADD/AL T D SIGN D MOVE D DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE D SFR D COMM D OTHER I <br /> TYPE OF CONSTR D BLOCK D FRAME D STEEL D OTHER I <br />/ DESCRIPTION OF I R~(f~ '-S~7U5 ~ /c f1/~ LJ/d/ , <br /> , <br /> BUILDING SIZE I SQ FOOTAGE I I HEIGHT I <br /> <br /> <br />D BUILDIN /1$ / SOU I <br />D ELECTRI AL 1$ I <br />D PLUMBIN 1$ I <br />D MECHAN CAL 1$ I <br />D GAS D ROOFING D <br />FINISHED FLOOR LEVATIONS I I <br /> <br />AMP SERVICE <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />W.R.E.C. <br /> <br />D <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY D OTHER <br />FLOOD ZONE AREA DYES <br /> <br /> Y I N FEE CURRENT <br /> License # <br />COMPANY <br />REGISTERED Y/ N FEE CURRENT <br /> License # <br /> Y/ N FEE CURRENT <br /> License # <br /> <br />/ <br />BUILDER <br />SIGNATURE <br /> <br /> <br />Address <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 /> <br />OTHER <br />SIGNATURE <br /> <br />Address <br /> <br />RESIDENTIAL <br /> <br /> <br />ttach (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 onsile, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br />Sanitary 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 />Minimum 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 />DNO <br /> <br />1 <br /> <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />Y / N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />Y/N <br /> <br />Y/N <br /> <br />Y/N <br /> <br />Directions: <br />Fill out applicati n completely. <br />Owner & Contra tor sign back of application, notarized <br />If over $2500, a otice of Commencement is required. (AlC 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 AlC Fences (PloUSurvey/Footage) <br /> <br />Driveways-Not ver Counter if on public roadways..needs ROW <br />