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<br />City of Zephyrhills Permit Application <br />Building Department <br />-If p13~ <br /> <br />Phone Contact for Permitting <br /> <br /> <br />813-780-0020 <br /> <br />Date Rec~ived <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Name <br /> <br />Fax-813-780-0021 <br /> <br />SUBDIVISION PARCEL 10# I <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED eg NEW CONSTR ADD/AL T D SIGN D MOVE D DEMOLISH <br /> INSTALL REPAIR <br />PROPOSED USE D SFR COMM D OTHER <br />TYPE OF CONSTRUCTION IXJ BLOCK FRAME D STEEL OTHER I <br />DESCRIPTION OF WORK Ctyv\ fV\R.-y I' C <<P <br />BUILDING SIZE SQ FOOTAGE I 3"?>1 HEIGHT <br /> <br /> <br /> <br />00 BUILDING 1$ gOO/COO <br />rKJ ELECTRICAL 1$ :J~ I ()1J7) <br />00 PLUMBING 1$ It, dlfD <br />00 MECHANICAL 1$ ( 7, oD'D <br />D GAS rn ROOFING D <br />FINISHED FLOOR ELEVATIONS ~~~. KL 9~.D <br /> <br />AMP SERVICE <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />WR.E.C. <br /> <br />00 <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY D OTHER <br />FLOOD ZONE AREA DYES <br /> <br /> <br />BUILDER <br />SIGNATURE <br /> <br />ELECT~N <br />SIGNAtyjiE <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />Address <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />OTHER <br />SIGNA TURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <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 />RESIDENTIAL <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />License # I c...& c. j -;. t; I- () '1 (J. <br /> <br />~' ~/~~ ~:;~,,!I-~~~ I <br /> <br /> <br />License # I ~ 1l};).G: ~I ~ <br />~(. !:LS", lb7~ <br /> <br />License # I ~ c.. D~ IQ ~lS <br /> <br />I <br />I <br />I <br />I <br />I <br /> <br />Y I N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />License # <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. (A/C 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 (PloUSurvey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways.. needs ROW <br />