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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 />~ 'fI\~ <br /> <br />zfW/s, <br />I PARcEtlD#1 J) {)..fo d-I () 0 J 6 J J 000 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />D ADD/ALT D SIGN D MOVE D <br />D REPAIR <br />D COMM D <br />D FRAME D <br /> <br />Owner Phone Number - 97 3 7 <br /> <br />Owner Ph~be; I ~/ -1 -L) S 3 - (p:J ~ 6 I <br /> <br /> <br />Owner Phone Number I I <br /> <br />I <br />I <br />I <br /> <br />LOT # <br /> <br />/ Owner's Name <br /> <br />l Owner's Address <br /> <br />Fee Simple Titleholder Namel",--r-l\N\...Q \- <br /> <br /> <br />Fee Simple Titleholder Address I <br /> <br />I JOB ADDRESS <br />SUBDIVISION <br /> <br />I SCo3Cf <br />I <br /> <br />c:r)(o / <br /> <br />WORK PROPOSED <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />DEMOLISH <br /> <br />/0 <br /> <br />B <br /> <br />PROPOSED USE D <br />TYPE OF CONSTRUCTION D <br /> <br />/ DESCRIPTION OF WORK l R..e (2 Q) ..:t- <br /> <br />BUILDING SIZE I I sa FOOTAGE I HEIGHT I <br /> <br />,......'"11....'.................'"1...""1...111..11...11........111..11...'...."...1'.......111.....111............11....1111..1.11.11..11.."1. <br /> <br />1$ / fe, OD <br />1$ <br />1$ <br />1$ <br />o GAS c=J <br /> <br />FINISHED FLOOR ELEVATIONS I <br /> <br />I <br />D <br /> <br />OTHER I <br /> <br />OTHER <br />STEEL <br /> <br />BUILDING <br /> <br />d\) <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 />o <br />o <br />o <br /> <br />ELECTRICAL <br /> <br />PLUMBING <br /> <br />MECHANICAL <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />ROOFING <br /> <br />SPECIALTY c=J <br />FLOOD ZONE AREA <br /> <br />OTHER <br /> <br />DYES <br /> <br />DNO <br /> <br />BUILDER <br />I SIGNATUR <br /> <br /> <br /> <br />I...\.} N"Y\n rJ <br />I 1" Y IN ~UR~ENT <br />License # I <br /> <br />Y/N <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />I Y / N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />PLUMBER <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 />COMPANY <br />REGISTERED <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />OTHER <br />SIGNATURE <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />111.111,1111,.11111111111111111111111111111111111111111I111111111111111111111111111111111111111111I111111I11111I111111111111111111111111111111111I <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 />11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <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 />