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<br />813-7'80-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br />Fee Simple Titleholder Name <br /> <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Date Received <br /> <br />SUBDIVISION <br /> <br />HIDD€IV <br />H 10 OGN <br /> <br />f(/~f( <br /> <br />BLvD - <br /> <br />ctf~y <br /> <br />I0AD <br /> <br />- {bz. -b77l <br />'5T-/~~. <br />I <br />I <br />I <br />I <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Address <br /> <br />JOB ADDRESS <br /> <br />LOT # <br /> <br />RIV&/?' <br /> <br />I <br /> <br />B <br />D <br />D <br />1JJF~srRvc:r()1i ~ <br /> <br />PARCEL 10# I <br /> <br />DESCRIPTION OF WORK <br /> <br />~ <br />D <br />D <br />I COI1PtGlE. <br /> <br />ADD/AL T <br />REPAIR <br />COMM <br />FRAME <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 />NEW CONSTR <br />INSTALL <br />SFR <br /> <br />BLOCK <br /> <br />D <br /> <br />D OTHER <br />D STEEL D <br /> <br />-Sr/r. D~~~ <br /> <br />WORK PROPOSED <br /> <br />OTHER I <br /> <br />BUILDING SIZE I tJ/ ^ I sa FOOTAGE I #JUt- I HEIGHT I JlIA I <br />11111.)..1..1..1..1..........1..1..1.............)111...1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <br /> <br />D <br /> <br />1$ I <br /> <br />D ELECTRICAL I $ I <br /> <br />D PLUMBING 1$ I <br />D MECHANICAL 1$ I <br /> <br />D GAS D ROOFING D SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I11111111111111111I11I111111111111I <br /> <br />AMP SERVICE <br /> <br />D <br />-SIT6rwRk <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C <br /> <br />BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />}.J / It <br /> <br />(j)V l..Y. <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />BUILDER <br />SIGNATURE <br /> <br />Address <br /> <br />ELECTRICIAN I <br />SIGNATURE <br /> <br />Address I <br /> <br />PLUMBER I <br />SIGNATURE <br /> <br />I <br /> <br />Address <br /> <br />MECHANICAL I <br />SIGNATURE <br /> <br />Address <br /> <br /> <br />OTHER <br />SIGNATURE <br /> <br />Address <br /> <br />1111111111111111111111111111111I11I1111111111111111111111111111111111111111111111111111111I11111111111111I11111I111111111111111111111I111111I111111 <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) 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 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 /> <br />11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I11I11I11I111111111111111111111111 <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 A1C Fences (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />