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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 />\tit( ( 1 <br /> <br />Owner's Name <br /> <br /> <br /> <br />Date Received ' <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Namel <br /> <br />-/ <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Fee Simple Titleholder Address I <br /> <br />S'ioS- <br /> <br />:J. (f) It. Sf <br /> <br />LOT # <br /> <br />I 3 ";4' <br /> <br />JOB ADDRESS <br /> <br />PARCEL 1D#1 <br /> <br />I <br /> <br />c=l ADD/AL T D <br />c:=J REPAIR <br />: ~~ COMM D OTHER <br />FRAME 0 STEEL D <br /> <br />~ l";;j 1:2 iPO (lJ,b'f ~ Ov.u- <br /> <br />BUILDING SIZE ISQ FOOTAGE I I HEIGHT I I <br />~""""""""""""""I'I"""'II"""""'II~'"V.....'..'..,."'.".'...III'IIII.'.....,.,"',.,"',...'.".'.".."".,.....,....., <br /> <br />~ BUILDING :$ 311 s-, D.~ VALUATION OFTOTAL CONSTRUCTION <br /> <br />D ELECTRICAL $ :==J AMP SERVICE D PROGRESS ENERGY 0 W.R.E.C, <br /> <br />D <br /> <br />D <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />~ NEW CONSTR <br />U INSTALL <br />~ SFR <br />D BLOCK <br /> <br />14 <br /> <br />PROPOSED USE <br /> <br />TYPE OF CONSTRUCTION <br /> <br />DESCRIPTION OF WORK <br /> <br />/ / - J(P- a.t - O(!)I 0 - Oct(pOO - 003 CJ <br />(OaT AINED FROM PROPERTY TAX NOTICE) <br />SIGN 0 MOVE D <br /> <br />DEMOLISH <br /> <br />OTHER I <br /> <br />1$ I <br />1$ ~ <br />D GAS ~ ROOFING D SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />"'111'1'1"'1"'1111111111111111111"'111111'1"'11111111111111111111111111"1'1"1'1111111111"11111111'""111"1'111"'1111'1"'11111111111111 <br /> <br />PLUMBING <br /> <br />MECHANICAL <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />BUILDER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <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 />COMPANY <br />REGISTERED <br /> <br />COMPANY <br />REGISTERED <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br /> <br />OTHER <br />SIGNATURE <br /> <br />Address <br /> <br />Y/N FEE CURRENT <br /> License # <br />Y IN FEE CURRENT <br /> License # <br />YI N FEE CURRENT <br /> LIcense # <br />Y IN FEE CURRENT <br /> <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />Y/N <br /> <br />Y/N <br /> <br />Y/N <br /> <br />Y/N <br /> <br />LIcense # I <br /> <br />~l~~'!~ <br /> <br />LIcense # I (Y1p <br /> <br />T.A.-c- <br />I Y/N <br />J.3J r:.l~S- <br /> <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 onslle, Construction Plans, stormwater Plans wi Sill Fence Installed, <br />Sanitary Facilities & 1 dumpster; Site Work Permit for subdlvlslonsllarge 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 onslle, Construction Plans, Stormwater Plans wi Slit Fence Installed, <br />Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance <br />StGN PERMIT Attach (2) sets of Engineered Plans. <br />....PROPERTy SURVEY required for all NEW construction, <br />1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 1111111111111111111111 <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 Appllcallon Only) <br />Reroofs Sewers ServIce Upgrades AlC Fences (PloVSurvey/Foolage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />