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<br /> <br /> <br />813-780-0020 <br /> <br />Date Received <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Address <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />0 BUILDING <br />0 ELECTRICAl <br />D PLUMBING <br />0 MECHANICAL <br />0 GAS <br /> <br />FINISHED FLOOR ELEVATIONS <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 />Add ress I <br /> <br />MECHANICAL I <br />SIGNATURE . <br /> <br />Address I <br /> <br />OTHER I <br />SIGNATURE <br /> <br />Address I <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br />1t b r1~ <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />c;-~ I1'lI? <br />- <br /> <br />~s <br /> <br />OLA./ lie: (' <br /> <br /> <br />o <br /> <br />o MOVE D DEMOLISH <br /> <br />I r()(J!{~1 ~ <br /> <br />o OTHER ..., <br /> <br />1$ <br />1$ <br />1$ <br />1$ <br />~ <br /> <br />I <br />I <br />I <br />I <br />D <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />PROGRESS ENERGY <br /> <br />WRE.C. <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />ROOFING <br /> <br />SPECIALTY D OTHER <br />FLOOD ZONE AREA DYES <br /> <br />ONO <br /> <br /> ~ FEE CURRENT ~ <br /> License # <br />COMPANV <br />REGISTERED ~ FEE CURRENT ~ <br /> License # <br />COMPANV <br />REGISTERED YI N FEE CURRENT ~ <br /> License # <br />COMPANV <br />REGISTERED ~ FEE CURRENT ~ <br /> License # <br /> <br />RESIDENTIAL <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fonns <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 Fonns. <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 />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 $50001 <br /> <br />Agent (for the contractor) or Power of Attomey (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 <br /> <br />Driveways-Not over Counter if on public roadways__needs ROW <br /> <br />Fences (PloVSurvey/Footage) <br />