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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 />Date Received <br /> <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Owner's Name <br /> <br />I <br />I <br /> <br /> <br />Fee Simple Titleholder Address I I <br /> <br />1315(,,:> I \cs< \j(" 2eQ"'I\\\\~";' ~ ~sc./(~ LOTO ~: <br />Ib\(~~\~~ Q,0,q,rl PARCELlD#_:CJ_~ __(_010 _1:;-00 c)~ . <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />E3 NEW CONSTR c=J ADD/AL T D SIGN D MOVE 0 <br />INSTALL D REPAIR <br />PROPOSED USE 0 SFR D COMM D <br />TYPE OF CONSTRUCTION 0 BLOCK D FRAME D <br /> <br />DESCRIPTION OF WORK I/S(} Af"\{? 6,H,("\..@(<.d ~;:rv, <br /> <br />BUILDING SIZE I SQ FOOTAGE I HEIGHT I <br />'111'1111111111111111111111'-'1111111111111"1'1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Namel <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />DEMOLISH <br /> <br />OTHER <br />STEEL <br /> <br />I <br />o <br /> <br />OTHER I <br /> <br />~ ELECTRICAL <br /> <br />1$ I <br />1$ f( 01> oiJ I <br />1$ I <br />1$ I <br /> <br />D GAS D ROOFING D SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />'11111111111111'11111111111111111111111111111111111111111111111111111111111II11111111111111111111111111111I111111111111111I1111I1I11II111111111111 <br />I <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />D <br /> <br />BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D <br /> <br />PLUMBING <br /> <br />D <br /> <br />MECHANICAL <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />BUILDER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Address <br /> <br /> <br />Y/N <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br /> <br />COMPANY <br />REGISTERED <br /> <br /> <br />Address <br /> <br />License # <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/ N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y / N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br />'11111111111111 <br />RESIDENTIAL <br /> <br />License # <br />11111111I11II111111111I111I111111I11I111111111I1I1111I1111111111II111111111II111111111111111I1II1111111111111I111I11I1111111111111 <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 onsile, 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 onsile, 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 />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Di~~~ii~~~.: I . I . I . I I . . . I I . I I . . I I I I I I I I . . . I I I I . . . I I I I I I I I I I I I I I . I . . I . I . . I I I I I . . . . I . . . . . . . I . . . . . ~ I I I . I . I . . I I I . . . . . . I . I I I . . . I I I I I . . . . . . . . . . I . I I I I I I I I I <br /> <br />Fill out application completely. <br />Owner & Contractor sign back of application, notarized <br />If over $2500, a Notice of Commencement is required. lAIC 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 (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />