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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 />Owner's Address <br /> <br /> <br />Fee Simple Titleholder Namel <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Owner's Name <br /> <br />Fee Simple Titleholder Address <br /> <br />JOB ADDRESS <br /> <br />3. ~Ll7? ~- Z;t:t.-/ku:- <br /> <br />LOT # <br /> <br /> I PARCEL ID#I <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br />NEW CONSTR B ADD/AL T D SIGN D MOVE D DEMOLISH <br />INSTALL REPAIR <br />SFR D COMM D OTHER I <br />BLOCK D FRAME D STEEL D OTHER I <br /> <br />SUBDIVISION <br /> <br />B <br /> <br />PROPOSED USE D <br /> <br />TYPE OF CONSTRUCTION D <br /> <br /> <br />DESCRIPTION OF WORK I [Iv '~h...L- ~I-\.o~ t)'(I;e"t. -fur-Ll?n -(;r(.(;hu;. .L."+rr V- E'l.ll Sr.f!;, IU ':) <br /> <br /> <br />BUILDING SIZE I SQ FOOTAGE I I HEIGHT I I <br />"-1'1111111111111111111111111111111111111111111"--11"'11'11-'1111"-'111111111111111111111111111111111111111111111111111111111111111'11'1'11111 <br /> <br />WORK PROPOSED <br /> <br />BUILDING <br /> <br />1$ <br /> <br />1$ -J...J)O () .00 <br />1$ <br /> <br />1$ <br /> <br />DGAS D <br />FINISHED FLOOR ELEVATIONS I <br /> <br />D <br /> <br />0- <br />D <br />D <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />ROOFING <br /> <br />I <br />I <br />I <br />I <br />D <br />I <br /> <br />AMP SERVICE D PROGRESS ENERGY D W.R.E.C. <br /> <br />IJf fty- fir tH' <br />~ /fevIP?'/ <br />VALUATION OF MECHANICAL INSTALLATION /< S <br /> <br />~ - <br /> <br />ELECTRICAL <br /> <br />PLUMBING <br /> <br />MECHANICAL <br /> <br />SPECIALTY D OTHER <br />FLOOD ZONE AREA DYES <br /> <br /> <br />;/tJ!V <br /> <br /> <br /> <br />BUILDER I <br />SIGNATURE <br /> <br />Address I <br /> <br />ELECTRICIAN !. "> ~~ <br />SIGNATURE .~,~' <br /> <br />Address <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y / N FEE CURRENT <br /> <br />Y/N <br /> <br />COMPANY <br />REGISTERED <br /> <br /> <br />License # <br /> <br />License # <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y I N FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />YI N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y / N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br />111111111111111 <br />RESIDENTIAL <br /> <br />License # <br />11II1111111111111111111111111111111111111111111111111111111I111111111111II1111111111111111111111111111111111111I111111I11111111111 <br />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 subdivisionsllarge projects <br />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 onsile, 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 />Attach (2) sets of Engineered Plans. <br />....PROPERTY SURVEY required for all NEW construction. <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />DI~~~ti~~~': . . . . 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 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 <br /> <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 Attomey (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 />