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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 /> <br />/Owner's Name <br />I ~ "t/ 4 n A /,/ n I ,/.J <br />/ Owner's Address U tI' / Q (;".. // /.:7 <br /> <br />Fee Simple Titleholder Namel <br /> <br />Fee Simple Titleholder Address <br /> <br />c7h/ /9/& <br /> <br />I PARCEL :0#1 II ~ ~/ {Jell) /5r:900 o/;v <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />E3 NEW CONSTR r-l ADD/AL T D SIGN 0 MOVE D <br />INSTALL D REPAIR <br />PROPOSED USE D SFR D COMM D <br />TYPE OF CONSTRUCTION D BLOCK D FRAME D <br /> <br />jDESCRIPTlDNOFWORK IR>-(-\.~o ~'=r ~~(. <br /> <br />BUILDING SIZE I I SQ FOOTAGE HEIGHT I <br /> <br />,."...'....11.....11....,...111.,'...11'.....111...11....11..11...'11....11.11...11....,111."....111...........111......111,..........,.............. <br /> <br />/JOB ADDRESS <br /> <br />3&s-,;;/ <br /> <br />LOT # <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />DEMOLISH <br /> <br />OTHER <br />STEEL <br /> <br />I <br />D <br /> <br />OTHER I <br /> <br />0 BUILDING 1$ <br />0 ELECTRICAL 1$ <br />I'D PLUMBING 1$ <br />0 MECHANICAL 1$ <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 />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />d%O S! <br /> <br />VALUATION OF MECHANiCAL INSTALLATION <br /> <br />SPECIALTY D OTHER <br /> <br />FLOOD ZONE AREA DYES <br /> <br />DNO <br /> <br />11,..,1'...1"""'1111111"1111,.....11.."",..11..."",111""11""11111111111"1111111""'111111"','"111111111111111111111111111""'1111 <br /> <br />BUILDER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br /> ELECTRICIAN I <br /> SIGNATURE <br /> Address I <br /> PLUMBER ! <br />I SIGNATURE <br /> Address <br /> MECHANICAL I <br /> SIGNATURE <br /> Address I <br /> OTHER I <br /> SIGNATURE <br /> Address I <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/ N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />ef.!~ <br /> <br />COMPANY <br />REGISTERED <br /> <br />h/~/"'/ ~.AM <br />Y / N FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/ N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y / N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />1111111111111111111111I111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <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 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 />1111111111I11111I11111I1111I11111111111I11111111111II111I11111111111111I1111111111I111111111111II11111111111I111111111II111111111I1111111111111111 <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 AlC Fences (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />