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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 />Date Received" <br /> <br /> <br /> <br />/' Owner's Name <br /> <br />/ Owner's Address <br /> <br />Fee Simple Titleholder Namel <br /> <br />,/ JOB ADDRESS <br /> <br />Fee Simple Titleholder Address I <br /> <br />15636 <br />I <br /> <br />8eed.. Sf. <br />I <br /> <br />D NEW CONSTR E3 ADD/ALT D <br />D INSTALL REPAIR <br />D SFR D. COMM 0 <br />o BLOCK D FRAME 0 <br /> <br />Il(ftm ~( ~ ~ tJ<<d dc,C.k <br /> <br />I SQ FOOTAGE I I HEIGHT <br /> <br />~ept,tf.rAr/(j <br /> <br />PARCEL ID#I <br /> <br />Fe <br /> <br />5"3f1k <br /> <br />LOT # <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />DEMOLISH <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />OTHER <br />STEEL <br /> <br />I <br />D <br /> <br />OTHER I <br /> <br />,/ DESCRIPTION OF WORK <br /> <br />I <br /> <br />...11..'11...111.....1..'.....11..11'..........11..'11....111.111.....1....1.........1.............1......1.11.1........1'......1.111.1."..11...,1 <br /> <br />BUILDING SIZE <br /> <br />0 BUILDING 1$ I VALUATION OF TOTAL CONSTRUCTION <br />0 ELECTRICAL 1$ I AMP SERVICE I.R.E.C. <br />0 PLUMBING 1$ I ~d, ~ <br /> ./ <br />/0 MECHANICAL 1$ ttJ7)t) I VALUATION OF MEC <br /> fY11&-- <br />0 GAS 0 ROOFING D SPECIALTY L <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE P <br /> <br />COMPANY <br />REGISTERED <br /> <br /> <br />DJJ:tI <br /> <br />........111...11...11.....'",.,............,.......1."'1"","""1""'11""'" <br /> <br />COMPANY <br />REGISTERED <br /> <br />I I I" rcc .....urtl"(t:N I <br /> <br />T 11'1 <br /> <br />. r:Y~' ~ <br />(2 ~ <br />~ <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />BUILDER <br />SIGNATURE <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y / N FEE CURRENT <br /> <br />Y/N <br /> <br /> Address <br /> MECHANICAL: "- <br />./ SIGNATURE <br /> Address <br /> OTHER <br /> SIGNATURE <br /> Address <br /> <br /> <br /> <br />License # <br /> <br />I AlR- WCL-\\.ov-.-aUJ <br />I Y / N FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y / N FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />11I11111111111111111111111111111111111111111111111111111111I11111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <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 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 onsite, Construction Plans, Storm water 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 />111II111111I11 I 11II111111111111111111 I 11111111111111111 I 11111111111111111 I I111111 I 11111111111111111111111111111111111111111111111111111111I1111111 <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 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 (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />