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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application -:U-11' '1. <br />Building Depar1ment 1k V./ <br /> <br />Fax-813-780-0021 <br /> <br /> <br />Date Received <br /> <br />Owner Phone Number <br /> <br />L Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />JOB ADDRESS <br /> <br />Fee Simple Titl.holder Addf8sS I <br /> <br />15347 <br />I <br /> <br />WORK PROPOSED <br /> <br />E3 <br />o <br /> <br />~AII 6lvd <br />I <br /> <br />E3 <br />o <br />o <br />,^,GIE Phl+)E <br /> <br />z~ phyt'l ;II~ <br />PARCELlD#111 2'" Z ( <br /> <br />rL <br /> <br />LOT' <br /> <br />SUBDIVISION <br /> <br />0010 <br /> <br />I 2-.2- 0 0 <br /> <br />0090 <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br />Ch ~J.S ~ <br />DESCRI~F WORK <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />ADD/AL T <br />REPAIR <br />COMM <br />FRAME <br /> <br />SIGN <br /> <br />D <br /> <br />MOVE 0 <br /> <br />DEMOLISH <br /> <br />~ <br /> <br />o <br />o <br />o <br />3 <br />I <br /> <br />+CD <br /> <br />OTHER I <br />STEEL D <br /> <br />PhASE <br /> <br />HEIGHT I <br />: <br /> <br />eJa-.c; A h1 <br />I <br /> <br /> <br /> <br />OTHER I <br /> <br />SQ FOOTAGE I <br /> <br />BUILDING SIZE <br /> <br />D BUILDING 1$ I VALUATION OF TOTAL CONSTRUCTION <br />ua--- ELECTRICAL 1$ 2000. (J U I AMP SERVICE p6 PROGRESS ENERGY 0 WRE.C. <br />0 PLUMBING 1$ I <br />D MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION <br />D GAS 0 ROOFING 0 SPECIALTY 0 OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES ONO <br /> <br />BUILDER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTEREO <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />L....:!:ilU <br /> <br />Address <br /> <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />Addf8SS <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />Addf8SS <br /> <br />MECHANICAL I <br />SIGNATURE . <br /> <br />Address I <br /> <br />OTHER I <br />SIGNATURE <br /> <br />Addf8sS I <br /> <br />License' <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />L....:!:ilU <br /> <br />License , <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />L....:!:ilU <br /> <br />License , <br /> <br />RESIDENTIAL <br /> <br />Attach (2) Plot Plans; (2) sets or Building Plans; (1) set of Energy Fonns; R-O-W Pemit for new construction, <br />Minimum ten (10) wor1<ing days after submittal date. Required onslte. Construction Plans, Stormwater Plans wi Silt Fence installed, <br />Sanitary Facilities & 1 dumpster; Site Work Pennit for subdivisionsllarge projects <br />Attach (3) complete sets of Building Plans plus a Life Sefety Page; (1) set of Energy FOnn5. R-O-W Pemrit for new construction. <br />Minimum ten (10) wor1<ing days after submittal date. Required onslte, Construction Plans, Stormwater Plans wi Sift Fence installed. <br />Sanitary Facilities & 1 dumpster. Site Work Pennit for aU 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, notariled <br />If over $2500, a Notice of Commencement is ....quired. (AlC upg...des over $5000) <br /> <br />Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notariled letter from owner authoriling same <br /> <br />OVER THE COUNTER PERMITTING (Front of Application Only) <br />Reroofs Sewers Service Upgrades AlC Fences (PlotlSurveylFoolage) <br />Driveways-Not over Counter if on public roadwaysuneeds ROW <br />