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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 />;1 /1 t;q]/ <br /> <br />, <br /> <br />Owner's Name 'T \ c:.. <br />Owns(s Add",ss 1.!)-.5 I ~ <br />Fee Simple Titlehold~r Name <br /> <br />JOB ADDRESS <br /> <br />Fee Simple Titleholder Address I <br /> <br />l55-, Cf . , l..""tk. 51: I 2'E.~ ~\~, LL.S I FL. '3.3S~ <br /> <br />I I PARCEL ID#I <br /> <br />NEW CONSTR D ADD/ALT D <br />INSTALL D REPAIR <br />SFR D. COMM D <br />BLOCK D FRAME D <br /> <br />L~c:..-e <b&.\...TSI OE N'E.Te.~ <br /> <br />SQ FOOTAGE I I <br /> <br />LOT # <br /> <br />SUBDIVISION <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br /> <br />SIGN D MOVE D <br /> <br />DEMOLISH <br /> <br />WORK PROPOSED <br /> <br /> <br />OTHER <br />STEEL <br /> <br />I <br />D <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />OTHER I <br /> <br />DESCRIPTION OF WORK <br /> <br /> <br />I <br /> <br />'.""111"".1'11111".111111""11"111."1111"'111.11...11...,.....11.....,....1111...11..111.'..11.11......'1111,.......,..........11......1111... <br /> <br />BUILDING SIZE <br /> <br />HEIGHT <br /> <br />1$ <br /> <br />I$ISD.~ <br /> <br />D PLUMBING 1$ <br /> <br />D MECHANICAL 1$ <br /> <br />D GAS D <br />FINISHED FLOOR ELEVATIONS I <br /> <br />D BUILDING <br />~ELECTRICAL <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C, <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />ROOFING <br /> <br />D <br />I <br /> <br />SPECIALTY D OTHER <br /> <br />FLOOD ZONE AREA DYES <br /> <br />DNO <br /> <br />'.11'....',...'...'1"."'11"..."11111,..'...,...,....'111...'....".'1'11...'11'...'....,11.."'....,...,".111.'11.11"'...11..."11'....'.'11 <br /> <br />Address <br /> <br /> <br />BUILDER <br />SIGNATURE <br /> <br />I (.,~ ST. 'l <br /> <br />COMPANY <br />REGISTERED YI N FEE CURRENT Y/N <br /> License # <br />COMPANY <br />REGISTERED I Y/N FEE CURRENT Y/N <br /> License # <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />Address <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 I <br />SIGNATURE . <br /> <br />Address I <br /> <br />OTHER I <br />SIGNATURE <br /> <br />Address I <br /> <br />11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <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/ Sill 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/ Sill 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 />111I111111111I11111111111I111II11111I111111111111I1111I111111111I11111III11111I1I111I11111I1I111II11111111IIII1I11111111II1111111I1111111111111111 <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 />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />OVER THE COUNTER PERMITTING (Front of Application Only) <br />Reroofs Sewers Service Upgrades AlC <br /> <br />Fences (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadwaysooneeds ROW <br />