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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-78(J.()()21 <br /> <br />Fee Simple Titleholder Address <br /> <br /> <br />Owner's Name <br /> <br />Date Received <br /> <br />h <br />~hpn~~'en I <br /> <br /> <br />E3 NEW CONSTR 17'1 ADD/ALT 0 <br />INSTALL D REPAIR <br /> <br />PROPOSED USE 0 SFR D COMM 0 OlliER <br /> <br />TYPE OF CONSTRUCTiON 0 BLOCK D FRAME 0 STEEL 0 OTHER I <br /> <br /> <br />::::"' 00"' ~ u at ~ <OO~ ll:lj ^ Q~~~~ ~R- Ail j- i <br />1$ I <br />1$ I <br /> <br />r:p PLUMBING 1$ .SOD. DO I <br /> <br />D MECHANICAL 1$ I <br /> <br />D GAS 0 ROOFING D <br />FINISHED FLOOR ELEVATIONS I I <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />SIGN <br /> <br />MOVE 0 <br /> <br />DEMOLISH <br /> <br />D <br />D <br /> <br />BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D WRE.C. <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY 0 <br />FLOOD ZONE AREA <br /> <br />OlliER <br /> <br />DYES <br /> <br />DNO <br /> <br />BUILDER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Ul.!::U <br /> <br />FEE CURRENT <br /> <br />LYL.!L.I <br /> <br />Address <br /> <br />ELECTRICIAN I <br />SIGNATURE . <br /> <br />Address I <br /> <br /> <br />~=~~ <br /> <br /> <br />MECHANICAL II <br />SIGNATURE . . <br /> <br />Address I <br /> <br />~I~~~URE I <br /> <br /> <br />Address I <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Ul.!::U <br /> <br />FEE CURRENT <br /> <br />LYL.!L.I <br /> <br />COMPANY <br />REGISTERED <br /> <br />COMPANY <br />REGISTERED <br /> <br />Ul.!::U <br /> <br />FEE CURRENT <br /> <br />LYL.!L.I <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Ul.!::U <br /> <br />FEE CURRENT <br /> <br />LYL.!L.I <br /> <br />License # <br /> <br />RESIDENTiAL <br /> <br />Attach (2) Plot Plans; (2) sets of Building Plans; (1) sat of Energy Forms; R-Q-W Perm~ 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; S~e IM>rk Permit for subdivisionsllarge projects <br />Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms, R-Q-W Perm~ for new construction. <br />Minimum ten (10) working days after submittal date. Required onsite. Construction Plans, Stormwater Plans wi sm Fence installed, <br />Sanitary Facilities & 1 dumpster. Sita IM>rk Perm~ 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 />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <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 $5(00) <br /> <br />Agant (for the contractor) or Powar of Attorney (for the owner) would be someone with notarized letter from ownar authorizing same <br /> <br />OVER THE COUNTER PERMiTTiNG (Front of Application Only) <br />Reroofs Sewers Service Upgrades Ale Fences (PlotlSurveylFootage) <br />Drtvewav--Not Over Counter if on public roadways.. needs ROW <br />