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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />1<'- "Fax-B13-7BO-0021 <br />* ~o <br /> <br />Date Received <br /> <br /> <br />~Z- <br />G. 4//13, <br /> <br /> <br />JOB ADDRESS <br /> <br />5 J1. AlE. <br /> <br />LOT # <br /> <br />WORK PROPOSED <br /> <br />5Y <br /> <br />PROPOSED USE CZI <br />TYPE OF CONSTRUCTION D <br /> <br />DESCRIPTION OF WORK I lZeplce. ce <br /> <br />BUILDING SIZE I I sa FOOTAGE I HEIGHT I <br /> <br />I.. . . I . I I I . . . . I I I . . I I I . . . . I . . . I I . . . I . . . . I I . It. . . . I . . . I I I . . I . I . . I I I . . I I I I . . ... . I . . . I I I . . . . I I . . . I I I . . . I II . I I . I . . . . . . . I I I I . . . . . . I I I I I P . I I . I I . . I . . I I I I . I <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br /> <br />I <br />B <br />D <br />D <br />~ <br /> <br />PARCEL ID#l! 2..... fit;. 2-t.... W?o ,.. DOlO 0.... D~tf 0 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />SUBDIVISION <br /> <br />BLOCK <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br />FRAME <br /> <br />D <br />D <br />D <br /> <br />DEMOLISH <br /> <br />OTHER <br />STEEL <br /> <br />I <br />D <br /> <br />OTHER I <br /> <br />0~ <br /> <br />D BUILDING 1$ I VALUATION OF TOTAL CONSTRUCTION <br />D ELECTRICAL 1$ I AMP SERVICE D PROGRESS ENERGY D W.R.E.C. <br />~ PLUMBING 1$ I REf/U,te . <br />9 Of) ~ SG~.L L. uvl!! <br />D MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION <br />D GAS D ROOFING D SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />111..'11111111'1'..11'..'11""11111.....1.1111.1.1".."f'lfll,..IIIII".."'IIIIII"IIIIII..IIIII..'.'1111..111........11,....'.'."1111'1111111 <br /> <br />BUILDER COMPANY <br />SIGNATURE REGISTERED Y/N FEE CURRENT Y/N <br />Address License # <br />ELECTRICIAN I COMPANY <br />REGISTERED I Y / N FEE CURRENT Y/N <br />SIGNATURE <br /> <br />PLUMBER <br />SIGNATURE <br /> <br /> <br /> <br />License # I <br /> <br />I ~( ~~C~RENT/tA~~~ <br /> <br />License # Ie H:. 057'-1 Y l..{ <br /> <br />MECHANICAL <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 />OTHER <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 />11I111111111111 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 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 />111111111111111111111111111111111111111111111111111111111111111111I11111111111111111111111111111111111111111111111I111111111111111111I111111111111 <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 cqntractor) 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 />