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<br /> <br />813-780-0020 <br /> <br />Date Received <br /> <br />Owner's'Name <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br /> <br />cR 54 E <br /> <br />Fee Simple Titleholder Address I <br /> <br />0'75 5 d-- Cp <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 />CJ< 5L{ E <br />I <br />B <br />D <br />D <br />~C)k l~ cf> <br /> <br />SQ FOOTAGE I <br /> <br />LOT # <br /> <br />PARCEL 10#1 <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />B <br />D <br />D <br /> <br />D <br />D <br />D <br />1-~ <br /> <br />DEMOLISH <br /> <br />NEW CONSTR <br />INSTALL <br /> <br />SFR <br />BLOCK <br /> <br />ADD/AL T <br />REPAIR <br />COMM <br />FRAME <br /> <br />I <br />D <br /> <br />OTHER <br />STEEL <br /> <br />OTHER I <br /> <br />HEIGHT I <br /> <br />BUILDING SIZE <br /> <br />I <br /> <br />.', . I I . . I I I I . . . I I I . . I . I I . I I . . . I , . . . I . . I . I I I . . . . . I . . . I I . . . . I . . . . I . . . . I I I . . I I . I I . . . I I . . . I I I . . . I I I . , . I I ,.. . . . . . . . I I I I I I . . . . . I I I I I . . I ',' . . . . . . . . . II . , r , . . <br /> <br />1$ <br /> <br />1$ <br /> <br />1$ IS () << tyU <br /> <br />1$ <br /> <br />D GAS D ROOFING D SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br /> <br />""'I'!"I"'IIIIIIIIIIIIIIII'IIIII'I'III""!'IIII'I111111111111111111111111111111111111111"'1"'1""'1'1111"'1"""111111111111"1"'111111 <br /> <br />D BUILDING <br />D ELECTRICAL <br />cut PLUMBING <br />D MECHANICAL <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 />BUILDER <br />SIGNATURE <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y I N <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y / N <br /> <br />FEE CURRENT Y / N <br /> <br />License # <br /> <br />Address <br /> <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />ID0y)nl'~ <br />I Y I N I <br /> <br />COMPANY <br />REGISTERED <br /> <br />w/It(~S +I1C, <br />FEE CURRENT I Y / N I <br /> <br />License # I Cf C I cr'd- 5" W:::t <br /> <br />c.r<. S'-f E, 2 <br /> <br /> <br />COMPANY <br />REGISTERED <br /> <br />YI N <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Address <br /> <br />License # <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Address <br /> <br />License # <br /> <br />11111111111111111111111111111111111111111"11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I1111 <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 />I111I111111I11111I111111111111111111I111I1111111II1111I111111111I11111I1111111111111I11111I1111111I11111111111II1111111111I11I111I1111111111111111 <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 NC Fences (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways,.needs ROW <br />