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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 />fJL- <br /> <br />Owner.s Name <br /> <br />LOT # <br /> <br />WORK PROPOSED <br /> <br />i <br /> <br />PARCELID#I OLf~).6 ~21- f)()3D- Of)IJ/)D~ 6J()3V <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE 0 <br /> <br />SUBDIVISION <br /> <br />DEMOLISH <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />OTHER I <br />STEEL D <br /> <br />OTHER I <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING <br /> <br /> <br />HEIGHT I <br /> <br />BUILDING SIZE <br /> <br />o <br /> <br />o <br /> <br />o PLUMBING 1$ <br /> <br />D MECHANICAL 1$ <br /> <br />D GAS m--ROOFING <br />FINISHED FLOOR ELEVATIONS I <br /> <br />(}O <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />I <br />I <br />D <br />I <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY D OTHER <br /> <br />FLOOD ZONE AREA DYES <br /> <br />DNO <br /> <br />"""1"11111"11111'1111'1'11111"'.1""""'11""111""11..."'..""'1'.""'1111.."1111'1"11....'.IIII"P,""I.","'III"I'II,I'IIIIII <br /> <br />BUILDER COMPANY <br />SIGNATURE REGISTERED YI N FEE CURRENT Y/N <br />Address License # <br />ELECTRICIAN COMPANY <br />SIGNATURE REGISTERED Y / N FEE CURRENT Y/N <br />Address License # <br />PLUMBER COMPANY <br />SIGNATURE REGISTERED Y / N FEE CURRENT Y/N <br />Address License # <br />MECHANICAL I COMPANY <br />SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br />Address I License # I <br />OTHER I cJlI L:- COMPANY (l/}t/I jJ t f) ()7/;-l ~ <br />SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y/N I <br />Address 0 IJox }3t:J License # I ILL tJof/l2-tJ/ <br /> / <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 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 onsile, 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 />SIGN PERMIT Attach (2) sets of Engineered Plans. <br />....PROPERTY SURVEY required for all NEW construction. <br />111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I111111I111111111 <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 (Plot/Survey/Footage) <br /> <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />