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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's Name <br /> <br />Owner's Address <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number l <br /> <br />Owner Phone Number i <br /> <br />Fee Simple Titleholder Name <br /> <br />Fee Simple Titleholder Address <br /> <br />LOT # <br /> <br />IS- <br /> <br />o ADD/ALT 0 <br />D REPAIR <br />~ COMM DO OTHER I' /' <br />L---I FRAME STEEL m' OTHER I <br /> <br />6xroJ ~1~CL &/LtJ/Nt;, 6N <br /> <br />SQFOOTAGE D:h I"r HEIGHT I 8 /h II <br /> <br />JOB ADDRESS <br /> <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />fit <br /> <br />PROPOSED USE 0 <br />TYPE OF CONSTRUCTION 0 <br /> <br />DESCRIPTION OF WORK I i lff C e <br /> <br />l B 'x 10 I I <br /> <br />o BUILDING 1$ fR' 0 () I CO <br /> <br />o ELECTRICAL 1$ <br /> <br />o PLUMBING 1$ <br /> <br />o MECHANICAL 1$ <br /> <br />o GAS c=J <br />FINISHED FLOOR ELEVATIONS I <br /> <br />BUILDING SIZE <br /> <br /> <br />I <br />I <br />I <br />I <br />o <br />I <br /> <br />~Y_2~-2\ - Cl:::/?::o.- DOCOO - OD~O <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN 0 MOVE 0 <br /> <br />DEMOLISH <br /> <br />Lor <br />I <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />D <br />?~o('\L 1=\ WRc;.V~ - ~d. <br /> <br />PROGRESS ENERGY <br /> <br />W.R.E.C, <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />Address <br /> <br /> <br />MECHANICAL I <br />SIGNATURE , <br /> <br />Address I <br /> <br />OTHER I <br />SIGNATURE <br /> <br />Address I License # <br /> <br />1111111111111111111111111111111111111111111111111111111111111111111111.1111111111111111111111111111111111111111111111I1111111111111111111111111111 <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 onsite, Construction Plans, Stormwater Plans wI 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 onsite, Construction Plans, Stormwater Plans wI 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 />SPECIALTY 0 <br />FLOOD ZONE AREA <br /> <br />ROOFING <br /> <br />BUILDER <br />SIGNATURE <br /> <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br />ELECTRICIAN I <br />SIGNATURE j' <br /> <br />Address , <br /> <br />PLUMBER I <br />SIGNATURE <br /> <br />I <br /> <br />COMPANY <br />REGISTERED <br /> <br />COMPANY <br />REGISTERED <br /> <br />COMPANY <br />REGISTERED <br /> <br />COMPANY <br />REGISTERED <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />OTHER <br />DYES <br /> <br />DNO <br /> <br /> <br />I <br />I <br />I <br />I <br />: <br />I <br />I <br />I <br />I <br /> <br />l \ "" _ /l (\,{~ pr <br />I YI N vI FEE CURRENT <br /> <br />License # I <br /> <br />Y/N <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />Y / N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />Y/ N <br /> <br />FEE CURRENT <br /> <br />YIN <br /> <br />License # <br /> <br />Y / N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />DI~~~ti~~~':' . . . . . . . . . . . . . . . . . . . ., . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . , , . . . . . . . . . . . , . . . , , , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . , <br /> <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 NC Fences (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />