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<br />SUBDIVISION <br /> <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br />813-780-0020 <br /> <br />Date Received <br /> <br />Owner's Name <br /> <br />JOB ADDRESS <br /> <br />LOT # <br /> <br />I <br />I <br />I <br />1/75' I <br />I <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Name <br /> <br />Fee Simple Titleholder Address <br /> <br />PARCEL 10#1 <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE 0 <br /> <br />DEMOLISH <br /> <br />PROPOSED USE <br /> <br />E3 <br />o <br /> <br />NEW CONSTR <br />INSTALL <br /> <br />ADD/AL T <br />REPAIR <br />COMM <br />FRAME <br /> <br />o <br />o <br />o <br /> <br />OTHER <br />STEEL <br /> <br />I <br />D <br /> <br />B <br />o <br />TYPE OF CONSTRUCTION 0 BLOCK 0 <br />DESCRIPTION OF WORK I fi..~r X;~- <br />BUILDING SIZE I B X /0 I SQ FOOTAGE I 60 I HEIGHT I 71 :J.I/ I <br /> <br />.. I'" I II" I I.... III" I I .-:.... I'.... 1.1" I II I" 1.1.... I" I' I..... I'" 1.1..... I..... I' I........ I'..... II I II I..... .. I II I....... I I' I" 1.1. I'" I I" I I' <br /> <br />[Xl BUILDING 1$ (t1 ~o . () CJ I VALUATION OF TOTAL CONSTRUCTION <br />o ELECTRICAL 1$' I AMP SERVICE 0 PROGRESS ENERGY <br /> <br />o PLUMBING 1$ I <br /> <br />o MECHANICAL 1$ I <br /> <br />o GAS 0 ROOFING 0 <br />FINISHED FLOOR ELEVATIONS I I <br /> <br />WORK PROPOSED <br /> <br />SFR <br /> <br />OTHER I <br /> <br />D <br /> <br />W.R.E.C <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY 0 <br /> <br />FLOOD ZONE AREA <br /> <br />OTHER <br />DYES <br /> <br />DNO <br /> <br />Address I ~~T.?9)r7 CyP/'eSS <br />ELECTRICIAN <br />SIGNATURE <br /> <br /> <br />~ <br /> <br />COMPANY <br />REGISTERED <br /> <br />(/J07J.vV <br />I~/ N I FEE CURRENT <br /> <br />License # I <br /> <br />Y/N <br /> <br />BUILDER <br />SIGNATURE <br /> <br />Y / N FEE CURRENT <br /> <br />Y/N <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 />COMPANY <br />REGISTERED <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />Y/ N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />OTHER <br />SIGNATURE <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address License # <br /> <br />1I1111111111111 1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <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 w/ Silt Fence installed, <br />Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisionsllarge projects <br />COMMERCIAL 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 />SIGN PERMIT Attach (2) sets of Engineered Plans. <br />....PROPERTY SURVEY required for all NEW construction. <br />I111I11I1111111I11111111111111111111111111111111111111111111111111I11111111111111111111111111111111111111111111111111111111111I11I111111I11111I111 <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 $5000) <br /> <br />.. Agent (for the cqntractor) 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 />