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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 RecE!ived <br />1111111111 <br /> <br />Owner's Name <br /> <br />Owner's Address I <br /> <br />Fee Simple Titleholder Namel <br /> <br /> <br />IOC-. <br /> <br /> <br />Fee Simple Titleholder Address I <br /> <br />377 ~4- OAK- ~0 C--' e- i <br /> <br />I <br /> <br /> <br />El NEW CONSTR D ADD/ALT D <br />INSTALL D REPAIR <br /> <br />PROPOSED USE D SFR D COMM 0 <br /> <br />TYPE OF CONSTRUCTION D BLOCK D FRAME D <br /> <br />W/t.t~O-P~ S'~ <br /> <br /> <br />I SQ FOOTAGE I I <br /> <br />JOB ADDRESS <br /> <br />LOT # <br /> <br />SUBDIVISION <br /> <br />PARCEL ID#I <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br /> <br />SIGN D MOVE 0 <br /> <br />DEMOLISH <br /> <br />WORK PROPOSED <br /> <br />OTHER I <br />STEEL D <br /> <br />OTHER I <br /> <br />DESCRIPTION OF WORK <br /> <br />I <br /> <br />'.....11....11...111....11...11...'11.111...........11..111....11.11,....11.....1111................11..........111.......11111..............,...."1 <br /> <br />BUILDING SIZE <br /> <br />HEIGHT <br /> <br />D BUILDING 1$ I VALUATION OF TOTAL CONSTRUCTION <br /> ....- <br />?:LECTRICAL 1$ I D PROGRESS ENERGY D W.R.E.C. <br />D PLUMBING 1$ I <br />D MECHANICAL 1$ I <br />D GAS D ROOFING D SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES <br /> <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />COMPANY <br />REGISTERED <br /> <br />License # <br /> <br />1~~~~Itf-. <br /> <br /> <br />License # I <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGiSTERED <br /> <br />Y/N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> License # <br /> <br />Y/N <br /> <br />Address <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N I. <br /> <br />Address <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />111111111111111 1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <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, Stormwater Plans w/ Silt Fence installed, <br />Sanitary Facilities & 1 dumpster. Site Work Permil 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 />1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I11111111111111111111111111111111I111I1111111111I <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 Attomey (for the owner) would be someone with notarized letter from owner authorizing same <br /> <br />OVER THE GOUNTER PERMITTING (Front of Application Only) <br />Reroofs Sewers Service Upgrades AJC Fences (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />