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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />kr 1~53 Fax-813-780-0021 <br /> <br />Date Received <br /> <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Namel <br /> <br />JOB ADDRESS <br /> <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />B NEW CONSTR 8 ADD/ALT 0 <br />INSTALL REPAIR <br />PROPOSED USE 0 SFR 0 'COMM 0 OTHER <br />TYPE OF CONSTRUCTION 0 BLOCK 0 FRAME 0 STEEL 0 <br />DESCRIPTION OF WORK I '2-NJ 14v'fJ ~':: t/-Cf tf1 Ie <br /> <br />BU'LDlNG SIZE I J SQ FOOTAGE l , I HEIGHT L I <br /> <br />J' . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . ; . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .': . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1111 <br /> <br />o BUILDING 1$ 1 VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL 1$ --.Jtp . d~ ] AMP SERVICEt~ () ~GRESS ENERGY <br /> <br />o PLUMBING 1$ 1 <br /> <br />o MECHANICAL [$ 1 <br /> <br />o GAS 0 ROOFING 0 <br />FINISHED FLOOR ELEVATIONS [ 1 <br /> <br />SIGN <br /> <br />(OBTAINED FROM PROPERTY TAX NO ICE) <br />o MOVE 0 <br /> <br />DEMOLISH <br /> <br />OTHER I <br /> <br />i <br />I <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY 0 <br /> <br />FLOOD ZONE AREA <br /> <br />OTHER <br /> <br />;,~~~~~~" r .. " , " , "" . ,. " """ · II . ,. II ",.,,, II " " "." j" " ~~;;' "t"" ~ : ' ~ " " '" :~. ~::~ " " . : "~'; ~ . 'J" " . , " " ' "j <br /> <br />DYES <br /> <br />DNO <br /> <br />Address <br /> <br /> <br />License # <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />Address <br /> <br />License # <br /> <br />Y/N <br /> <br />I <br />I <br />I <br />] <br /> <br />I <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMMERCIAL <br /> <br />Address [ <br /> <br />MECHANICAL 1 <br />SIGNATURE _ <br /> <br />Address l <br /> <br />OTHER I' <br />SIGNATURE _ <br /> <br /> <br />Add",.. !"""" , " " " .. " " " " .. .. J License' f <br /> <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 onsile, Construction Plans, Stormwater Plans wI Silt Fence installed, <br />Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisionsllarge projects <br />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 />Attach (2) sets of Engineered Plans. <br />....PROPERTY SURVEY required for all NEW construction. <br /> <br />COMPANY <br />REGISTERED <br /> <br />1 <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />COMPANY [ <br />REGISTERED <br /> <br />Y IN J <br /> <br />FEE CURRENT <br /> <br />J <br /> <br />COMPANY <br />REGISTERED <br /> <br />License # <br /> <br />Y/N J <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />SIGN PERMIT <br /> <br />t>irectlons: <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 />IVER 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 />