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<br /> <br />Fee Simple Titleholder Address I <br /> <br />I ~~ I')..., \..../b '-1("e\ <br />IM&,fe.."5\\C OR.,\-<" <br /> <br />BUiLDING SIZE I ~ X. lO <br /> <br />'.p..III...II'.'.III..'.'..II..."...II....IIII..III...11...11...111...11.....11..........111....'.....11111.....'....1111".......1.111111'1111111.. <br /> <br />1$ <br />1$ <br />1$ <br />1$ <br /> <br />D GAS D ROOFING D SPECIALTY D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />11111111"'1'111111"1""1""11","'111""'11"'11""II'r"p'l~"IIII'r""I"'II"'P""'II'I"lr"'".....'tlll....II.""'II.II."I""1 <br /> <br />BUILDER ' c- . }..\~. COMPANY I q ~~ I <br />SIGNATURE d ~ ..:,:::) .....,.... REGISTERED I I N FEE CURRENT Y I N <br /> <br /> <br />813-780-0020 <br /> <br />. <br />Date Received <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Name <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />DESCRIPTION OF WORK <br /> <br />IX] BUILDING <br />D ELECTRICAL <br />D PLUMBING <br />D MECHANICAL <br /> <br />Address <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br />1333 \ <br /> <br />B <br />D <br />D <br />I S"'-~ <br />I <br /> <br />\.){...,\\E'~~ ~\"1d... <br />I <br />R'01 PARCELlD#1 <br />Re'6~)('-'\ <br />c::J ADD/ALT <br />D REPAIR <br />D' COMM <br />D FRAME <br /> <br />LOT # <br /> <br />'-\.9 <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br /> <br />SIGN 0 MOVE D <br /> <br />D <br />D <br />D <br /> <br />DEMOLISH <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />OTHER I <br />STEEL 0 <br /> <br />OTHER I <br /> <br />HEIGHT I, /2, /I <br /> <br />SQ FOOTAGE I <br /> <br /><60 <br /> <br />lnoo. <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />D <br /> <br />W.R.E.C, <br /> <br />PROGRESS ENERGY <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />I Y IN <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />YI N <br /> <br />Address <br /> <br />License # <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />YI N <br /> <br />Address <br /> <br />License # <br /> <br />111111111111111 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 wI Silt Fence installed, <br />Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large 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 onsile, 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 />SIGN PERMIT Attach (2) sets of Engineered Plans. <br />....PROPERTY SURVEY required for all NEW construction. <br />1111111111111111111111111111111111111111111111111111111111111111111111111I1111111111111111111111111111111111111111111111111111111I11I111111I111111 <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 (PloUSurvey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />