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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 Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />.- Owner's Address <br /> <br />Fee Simple Titleholder Name I <br /> <br />JOB ADDRESS <br /> <br />Fee Simple Titleholder Address I <br /> <br />!3790CJ <br />I <br /> <br />VA-'f ~ It-r~~ ~ <br /> <br />I PARCEL 10# I <br /> <br />LOT # <br /> <br />SUBDIVISION <br /> <br />(OBTAINED FROM PROPERTY TAX NOnCE) <br />SIGN 0 MOVE 0 DEMOLISH <br />OTHER I <br />STEEL 0 OTHER I <br /> <br />WORK PROPOSED <br /> <br />B <br />o <br />o <br />~"'-I<j...~. ~ "",'to A./~ <br /> <br />I SQ FOOTAGE <br /> <br />NEW CONSTR <br />INSTALL <br /> <br />SFR <br /> <br />B <br />D <br />D <br /> <br />ADD/AL T <br />REPAIR <br /> <br />o <br />o <br />o <br /> <br />PROPOSED USE <br /> <br />TYPE OF CONSTRUCTION <br /> <br />COMM <br /> <br />BLOCK <br /> <br />FRAME <br /> <br />DESCRIPTION OF WORK <br /> <br />HEIGHT I <br /> <br />BUILDING SIZE <br /> <br />o <br /> <br />BUILDING <br /> <br />-- <br /> <br />I <br />I <br />I <br />I <br />D <br />I <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />o <br /> <br />WREC <br /> <br />1$;{3oC-? <br />o ELECTRICAL 1$ <br /> <br />D PLUMBING 1$ <br /> <br />D MECHANICAL 1$ <br /> <br />D GAS 0 <br />FINISHED FLOOR ELEVATIONS I <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />ROOFING <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br />SPECIALTY 0 OTHER <br />FLOOD ZONE AREA DYES ONO <br />COMPANY <br />REGISTERED ~ FEE CURRENT ~ <br /> License # <br />COMPANY <br />REGISTERED ~ FEE CURRENT ~ <br /> License # <br />COMPANY <br />REGISTERED ~ FEE CURRENT ~ <br /> License # <br />COMPANY <br />REGISTERED ~ FEE CURRENT ~ <br /> <br />BUILDER <br />SIGNATURE <br /> <br />Address <br /> <br />ELECTRICIAN I <br />SIGNATURE . <br /> <br />Address I <br /> <br />PLUMBER I <br />SIGNATURE <br /> <br />Address I <br /> <br />MECHANICAL I <br />SIGNATURE . <br /> <br /> <br />License # I <br /> <br />I ~J ~tUSNT ~ <br /> <br />license # leJZ~qc. "-)- I <br /> <br />RESIDENTIAL <br /> <br />Attach (2) Plot Plans; (2) sets of BUilding Plans, (1) set of Energy Forms <br />Minimum ten (10) working days after submittal date. ReqUIred onsite, Construction Plans, Sanitary Facilities & 1 dumpster <br />Attach (3) sets of Building Plans; (1) set of Energy Forms <br />Minimum ten (10) working days after submittal date. ReqUIred onsite, Construction Plans, Sanitary Facilities & 1 dumpster <br />All commercial requirements must meet compliance <br />Attach (2) sets of Engineered Plans. <br />....PROPERTY SURVEY reqUIred for all NEW construction <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <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 AlC <br /> <br />Fences (PloUSurvey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways needs ROW <br />