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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-78D-0021 <br /> <br />Owner's Address <br /> <br /> <br />:3 <br /> <br />PARCELlD#II/-2&----Zf -O~//)-/&tfn~ 00/0 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN 0 MOVE 0 <br /> <br />LOT # <br /> <br />Date Received <br /> <br />Owner's Name <br /> <br />Fee Simple Titleholder Name <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />D NEW CONSTR E1 ADD/AL T D <br />D INSTALL REPAIR <br />PROPOSED USE D SFR D. COMM 0 <br />TYPE OF CONSTRUCTION D BLOCK 0 FRAME D <br /> <br />DESCRIPTION OF WORK I ~\D..-l" () ~ ~ oC-\~ <br /> <br />I I SQ FOOTAGE I I <br /> <br />r....I....."..III...III.'_".'I...III....III...III...11...11.............'...11'..1111..1111.............11111.........".'....1111111111....11... <br /> <br />DEMOLISH <br /> <br />WORK PROPOSED <br /> <br />OTHER <br />STEEL <br /> <br />BUILDING SIZE <br /> <br />I <br />D <br />("\0 p:n ~ -+0 ~~ <br />I . I <br /> <br />OTHER I <br /> <br />HEIGHT <br /> <br />D <br /> <br />BUILDING <br /> <br />1$ <br />1$ <br /> <br />D PLUMBING 1$ <br /> <br />D MECHANICAL 1$ <br /> <br />D GAS D <br />FINISHED FLOOR ELEVATIONS I <br /> <br />ROOFING <br /> <br />I <br />I <br />I <br />I <br />D <br />I <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br />AMP SERVICE I (/P' ~ PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C, <br /> <br />~~~CTRICAL <br /> <br />flJ<r1 <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY D OTHER <br />FLOOD ZONE AREA DYES <br /> <br />DNO <br /> <br />'111""11111"1"""1111111111111"111111,"'11"'"'11111111"""1"""'11111""'1111111111111111'1'1'I.,I'.""lp.'IIIIIIIII.......,....... <br /> <br />BUILDER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />YI N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />ELECTRICIA <br />SIGNATURE <br /> <br /> <br /> License # <br />Y/N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> License # <br />YI N FEE CURRENT <br /> License # <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />MECHANICAL I <br />SIGNATURE . <br /> <br />Address I <br /> <br />OTHER I <br />SIGNATURE <br /> <br />Address I <br /> <br />I1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <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 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 />SIGN PERMIT Attach (2) sets of Engineered Plans. <br />....PROPERTY SURVEY required for all NEW construction. <br />111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111/1111111111111111111111111111111111 <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 Fences (Plot/Survey/Footage) <br /> <br />COMPANY <br />REGISTERED <br /> <br />YIN <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />