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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Date Received <br /> <br /> <br />'... Owner's Name <br /> <br /> <br />- Owner's Address I :~/141... \ <br />Fee Simple Titleholder Namel <br /> <br />SOI..\..+h.. Av~ <br /> <br />Fee Simple Titleholder Address I <br />.\3947- \ <br />I <br /> <br />DESCRIPTION OF WORK <br /> <br />B <br />o <br />o <br />Z- <br /> <br />Sou.-+"'- A-~. LOT # <br /> I PARCELlD#1 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br />NEW CONSTR El ADD/ALT SIGN D MOVE 0 DEMOLISH <br />INSTALL REPAIR <br />SFR CJ COMM OTHER I <br />BLOCK CJ FRAME STEEL D OTHER I <br />fV\bkl bu..\ J ~~ fOv..,J~.:f-. o^ e-rnJ id ro~0:,r- <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />BUILDING SIZE I I sa FOOTAGE I I HEIGHT I I <br />1111'111111111'11'11111111"1"11'111'1"1111111'11'11I'll 11'1'111'11111"11'11'11'11;11111'1'11"11"11'1"'1'1"11'11'11111111'111'1'11'11111'1 <br />QrJ <br /> <br />BUILDING <br /> <br />000 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E,C, <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />ROOFING <br /> <br />CJ <br />I <br /> <br />SPECIALTY 0 <br />FLOOD ZONE AREA <br /> <br />OTHER <br /> <br />DYES <br /> <br />DNO <br /> <br />BUILDER <br />SIGNATURE <br /> <br /> <br />COMPANY <br />REGISTERED <br /> <br /> <br />~ ,~c..1 <br /> <br /> <br />FEE CURRENT <br /> <br />I'iCff <br /> <br />(lAc.... "'- SI,-. <br /> <br />~...eJ ;" <br /> <br />License # <br /> <br />I C2>C \25 I \ifS- <br /> <br />Address <br /> <br />ELECTRICIAN I <br />SIGNATURE . <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 />Address <br /> <br />COMPANY <br />REGISTERED <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />Y/N <br /> <br />Address <br /> <br />COMPANY <br />REGISTERED <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />Y/N <br /> <br />Address <br /> <br />COMPANY <br />REGISTERED <br /> <br />OTHER <br />SIGNATURE <br /> <br />Y/N <br /> <br />Address License # <br /> <br />11II1111II111II111111111111111I111111111111111I111I1111111111111111111111111111111111111111111III111111111I1I11111I111111I111111111111111111111111 <br />RESIDENTIAL 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 />COMMERCIAL 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 />SIGN PERMIT Attach (2) sets of Engineered Plans. <br />....PROPERTY SURVEY required for all NEW construction. <br /> <br />Di~~~ti~~~':' . . . , . . . . I . . . . . . . . . . . . I . . . I . . . . . , I . . . . , . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . , . . . . . , , . . . . . . , I . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . I . . I I <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 />Driveways-Not over Counter if on public roadways.-needs ROW <br />