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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br /> <br />Fax-813-780-0021 <br /> <br />Date Received <br /> <br />stc:-rn 5L1nb.. 1+ <br />7e.f'h'l rl..d Is I f-: L <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />JOB ADDRESS <br /> <br />Fee Simple Titleholder Address I <br />!.:3'il;l. :~3 <br /> <br />I <br /> <br />NEW CONSTR <br />INSTALL <br /> <br />D a lA 4~) t~.".'1 <br />. <br /> <br />I <br />B <br />D <br />D <br /> <br />'V- r-e-- Y--oc...> +- <br /> <br />Rc~ I Zephy rh I /13 I r:-L <br />PARCEL ID# I <br /> <br />LOT # <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />B <br />D <br />D <br />I ~c\r 0 r-~ <br />I <br /> <br />SFR <br /> <br />ADD/ALT <br />REPAIR <br /> <br />COMM <br /> <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br />D SIGN D MOVE D DEMOLISH <br />D OTHER I <br />D STEEL D OTHER I <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />BLOCK <br /> <br />FRAME <br /> <br />DESCRIPTION OF WORK <br /> <br />SQ FOOTAGE I <br /> <br />HEIGHT I <br /> <br />BUILDING SIZE <br /> <br />1$ <br /> <br />1$ <br /> <br />1$ <br /> <br />1$ <br /> <br />o GAS D <br />FINISHED FLOOR ELEVATIONS I <br /> <br />0 BUILDING <br />0 ELECTRICAL <br />0 PLUMBING <br />0 MECHANICAL <br /> <br />ROOFING <br /> <br />I <br />I <br />I <br />I <br />D <br />I <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />OTHER <br />DYES <br /> <br />DNO <br /> <br />COMPANY I <br />REGISTERED ~ FEE CURRENT L..Y.0::U <br /> License # I <br />COMPANY I <br />REGISTERED ~ FEE CURRENT L..Y.0::U <br /> License # I <br />COMPANY I <br />REGISTERED ~ FEE CURRENT L..Y.0::U <br /> License # I <br />COMPANY I <br />REGISTERED ~ FEE CURRENT L..Y.0::U <br /> License # I I <br /> I~~~ WvrkS I <br /> Y / N FEE CURRENT ~ <br /> License # ICa..eoWIJSJ I <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 />, <br /> <br />Address <br /> <br />MECHANICAL I <br />SIGNATURE <br /> <br />Address <br /> <br /> <br />OTHER <br />SIGNATURE <br /> <br />Address <br /> <br />RESIDENTIAL <br /> <br />Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permittor new construction, <br />Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br />Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects <br />Attach (3) complete sets of Building Plans plus a Life Safety Page; (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 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 />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 NC <br />Driveways-Not over Counter if on public roadways..needs ROW <br /> <br />Fences (PloUSurvey/Footage) <br />