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<br />Date Received <br /> <br /> <br />City of Zephyrhills Permit Application <br />Building Department /V\ ( ( {k [ J.e...-{2-1 <br /> <br />Fax-813-780-0021 <br /> <br />813-780-0020 <br /> <br />Owner's Name <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 />SUBDIVISION <br /> <br /> <br />JOB ADDRESS <br /> <br />WORK PROPOSED <br /> <br />(0 TAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />DEMOLISH <br /> <br />NEWCONSTR c=J ADD/ALT D <br />INSTALL D REPAIR <br />PROPOSED USE SFR D COMM D OTHER <br />TYPE OF CONSTRUCTION D BLOCK D FRAME D STEEL <br /> <br />DESCRlPTlO"O'WORK 1..y5'nI.M~J ~ok /0'f/J. .. <br /> <br />BUILDING SIZE SQ FcIoTAGE I I HEIGHT <br />11111111111111111"11111111111"1""111111"'11111111111'1'11""'1111111111111""'111'1'111111111111111"1111111111111111"111111'1111111111111 <br />1$ I <br />1$ I <br />1$ I <br />1$ I <br /> <br />D GAS D ROOFING D <br /> <br />FINISHED FLOOR ELEVATIONS I I <br /> <br />I <br />D <br />( ?' y/1 <br /> <br />OTHER I <br /> <br />;1~ ('// <br />I <br /> <br />D <br /> <br />BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D <br />D <br />D <br /> <br />ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br />~(ie- ~~ <br />~. v#- tvs 'Jz-- <br />pam'~ <br /> <br />DNO <br /> <br />W.R.E.C. <br /> <br />PLUMBING <br /> <br />MECHANICAL <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />OTHER <br /> <br />DYES <br /> <br /> <br /> <br />BUILDER <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 />YI N FEE CURRENT <br /> License # <br />Y I N FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />.'~ <br /> <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address License # <br />111111111111111111111111111111111111111111111111111111111111111111111111111I111111111111111111111111111111111111I111I11111111111111111111111111111 <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 wI Silt Fence installed, <br />Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisionsllarge 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 on site, Construction Plans, Stormwater Plans wI Silt Fence installed, <br />Sanitary Faciiities & 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 />...111...1.....11...1111..111...11...111...11,...11...1111......11.....11111........11111........11111......11...111....11.11111111.11............ <br />Directions: <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 NC Fences (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />