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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 />1fG e$7 <br /> <br />Fee Simple Titleholder Name <br /> <br /> <br />Owner Phone Number <br /> <br />Date Received <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Address <br /> <br />JOB ADDRESS 9:J... t' 33J~ II <br />SUBDIVISION lYtg of 2~p~ wJ <br /> PROPERTY TAX N eEl <br />WORK PROPOSED ~ NEW CONSTR ~ ADD/ALT 0 SIGN D MOVE 0 DEMOLISH <br /> INSTALL REPAIR <br />PROPOSED USE SFR D COMM 0 OTHER I <br />TYPE OF CONSTRUCTION 0 BLOCK D FRAME 0 STEEL D OTHER I <br />DESCRIPTION OF WORK I N~ 1(. I fr.A.u, <br />BUILDING SIZE lJg.j J 'A, CJJ ij7 HEIGHT I 7~ , <br /> <br /> <br /> <br />D BUILDING <br />D ELECTRICAL <br />D PLUMBING <br />D MECHANICAL <br /> <br />1$ I 5' 0 0 ~ ,1. f)) AMP SERVICE <br />, 11. 6J <br />1$ / a 06 ~jS' <br /> <br />1$ I <br /> <br />D GAS 0 ROOFING D <br /> <br />FINISHED FLOOR ELEVATIONS I I DNO <br /> <br />IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII!IIIIIIIII11111111I11111111111111111111111111111111111111111111111111111111111111111111111111111111111 <br /> <br />:~~~~~RE ~ ~~~~:R~~ Yftol~~CURRE~ W~~N(" I <br /> <br /> <br />License # I <br /> <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />~. <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />if' <br /> <br />VALUATION OF MECHANICAL INSTALLATlcJ\[1\ S''tJ'r <br /> <br />SPECIALTY 0 OTHER . <br />FLOOD ZONE AREA 0ES <br /> <br />Address <br /> <br />ELECTRICIAN <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 />Y/N <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />Address <br /> <br />COMPANY <br />REGISTERED <br /> <br />OTHER <br />SIGNATURE <br /> <br />Y/N <br /> <br />SIGN PERMIT <br /> <br />License # <br />1111111111I11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <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 on site, Construction Plans, Stormwater Plans w/ 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 on site, Construction Plans, Stormwater Plans w/ 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~~~ij~~~': . , , , . . , . , . . , , , . . . . . . . . . . . . , , , . . . . . . . . . . . . . . . , , . . . , . . . . . . . . . . . . . . . . . . . . . . , . , . . . . . . . , . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . , . . , . . . . . . , . , , , , , , , , <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 (Plol/Survey/Footage) <br /> <br />Address <br />111111111111111 <br />RESIDENTIAL <br /> <br />COMMERCIAL <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />