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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'i; Name <br /> <br />Fee Simple Titleholder Address I <br /> <br />JOB ADDRESS <br /> <br />14~;}d-- <br />I <br /> <br />bA- \ \ <br /> <br />~'lJd <br /> <br />LOT # <br /> <br />WORK PROPOSED <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />I <br />E3 <br />D <br />D FRAME D STEEL D <br /> <br />~lY1tx:L.LO."^-~ <br /> <br />SQ FOOTAGE I I HEIGHT I <br /> <br />PARCELlD#IIL\ -J.U -dol. 00\ 0 .01'700,.0090 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />SUBDIVISION <br /> <br />D <br /> <br />D <br />D <br />D <br /> <br />D <br /> <br />B <br /> <br />PROPOSED USE D <br />TYPE OF CONSTRUCTION D <br /> <br />DESCRIPTION OF WORK LId. \ ~ d- 0 I <br /> <br />I <br /> <br />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 1.1 . I , . , I , I I I I I I I I I , I I I I I I I . I I . I . <br /> <br />1$ ~~oa 00 <br />1$ , , <br />1$ <br />1$ <br />D <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br /> <br />D <br />D <br /> <br />DEMOLISH <br /> <br />OTHER <br /> <br />OTHER I <br /> <br />BUILDING SIZE <br /> <br />ROOFING <br /> <br />jJ <br />I <br />I <br />I <br />D <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E,C, <br /> <br />BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />ELECTRICAL <br /> <br />PLUMBING <br /> <br />MECHANICAL <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />j0tV <br /> <br />GAS <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />DYES <br /> <br />DNO <br /> <br />BUILDER <br />SIGNATURE <br /> <br /> <br />~~ N ~ch~RR~ fu . <br /> <br />License # I M C- <br /> <br />Address <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N FEE CURRENT <br /> License # <br />Y I N FEE CURRENT <br /> License # <br />Y I N FEE CURRENT <br /> License # <br />YI N FEE CURRENT <br /> License # <br /> <br />Y/N <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />1111I111II11111 1111111111111111111111111I111111111111111111111111111111111111111111111111111111111111111111111111111111111111II1111II111111111111 <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 wi 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 />111111111I1111111111111I11111111111111111111111111I1111111111111111111111I1111111111111111111111111111I11I111IIIIIIIIIIIIIIIIIIIIllllllillllllllll <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 (Plol/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />