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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 /> <br />Date Received <br /> <br />Owner's Name <br /> <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Namel <br /> <br />Fee Simple Titleholder Address I <br /> <br />(DOl;}. <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />S t t. tJ~~ 4-d.. 't) ~ 'A lI\C "'- <br />~ t l~e ~~ b\ '\) R.~c. '"'I PARCEL 10#1 <br /> <br />v"3 \) '\A{~v\4v-J <br /> <br />LOT # <br /> <br />~ <br />o <br />D <br />'" <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br /> <br />SIGN D MOVE D <br /> <br />DEMOLISH <br /> <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />ADD/AL T <br />REPAIR <br />COMM <br />FRAME <br /> <br />OTHER <br />STEEL <br /> <br />OTHER I <br /> <br /> <br />. .5t!. .... \J~ ( <br /> <br />SQ FOOTAGE <br /> <br />HEIGHT <br /> <br />111111111111111111'."'1111111111111111111""11111111111111111.."11111111'11111111111""""1111111111"'1111IIIIIp.P"."'IIIIIIII"""'111111111 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />1$ I <br /> <br />1$ \ \ \ 0-0 I AMP SERVICE D PROGRESS ENERGY D W.R.E.C, <br /> <br />1$ I ~#c:l0"~' <br /> <br />1$1 VALUATION OF MECHANICAL INSTALLATION ~ <br /> <br />GAS D ROOFING D SPECIALTY D OTHER C'~ <br /> <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO------' <br /> <br />11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <br /> <br />BUILDER I COMPANY <br />SIGNATURE REGISTERED Y I N FEE CURRENT Y IN <br /> <br />Address I License # <br /> <br />ELECTRICIAN I. /J I ~ ~ E' /-FeT <br />SIGNATURE .~ Y I FEE CURRENT <br />!Z(!.../:]ooll'1/ <br />License # <br /> <br />D BUILDING <br />cJ6 ELECTRICAL <br />D PLUMBING <br />D MECHANICAL <br /> <br />D <br /> <br />~ JJc- , <br />I Y IN I <br /> <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br /> <br /> <br />COMPANY <br />REGISTERED <br /> <br />FEE CURRENT <br /> <br />Address <br /> <br />License # <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />YI N <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Address <br /> <br />License # <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />License # <br />1111111111II1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I11111111111111111111 <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 wi 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 wi 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 />Di~~~ti~~~':' . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> <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 />Address <br />1111/1111111111 <br />RESIDENTIAL <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />