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<br />Bl3-7~20 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-7~21 Jt 1/0b <br /> <br />Date Received <br /> <br /> <br />.. <br />Ownefs Name <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Ownefs Address <br /> <br />Fee Simple Titleholder Name I <br /> <br />Fee Simple Titleholder Address 1 <br /> <br />I" 2. /" S';l Ver <br />I>" ilver 0'''< S <br /> <br />JOB ADDRESS <br /> <br />('j~l<> <br /> <br />O~ I <br />PARCEL ID#IO 1-2t,. 2/-012t1-00oaJ'. 0100 <br /> <br />(OBTAINED FROM PROPERTY TAX NOllCE) <br /> <br />LOT' I IV <br /> <br />D BUILDING <br />D ELECTRICAL <br />D PLUMBING <br />D MECHANICAL <br /> <br />I <br /> <br /> <br />D NEWCONSTR rn ADDIALT D <br />D INSTALL D REPAIR <br /> <br />PROPOSED USE D SFR D COMM D <br /> <br />TYPE OF CONSTRUCTION D BLOCK D FRAME D <br /> <br />ReP/().<.R,fl1e'1C WI ")J.qVol1> <br /> <br />I <br />EJ q. 't(S 7 <br />1$ <br />1$ <br />1$ <br /> <br />D GAS D <br />FINISHED FLOOR ELEVATIONS I <br /> <br />WORK PROPOSED <br /> <br />SIGN <br /> <br />D <br /> <br />MOVE D <br /> <br />DEMOLISH <br /> <br />SUBDIVISION <br /> <br />OTHER I <br />STEEL D <br /> <br />~J~(" st:d€.r <br /> <br />I HEIGHT I <br /> <br />OTHER I <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />SQ FOOTAGE I <br /> <br />ROOFING <br /> <br />I <br />I <br />I <br />I <br />D <br />I <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />BUILDER <br />SIGNATURE <br /> <br /> <br />OTHER <br /> <br />DYES <br /> <br />DNO <br /> <br />Address <br /> <br />ELECTRICIAN I <br />SIGNATURE <br /> <br /> lL I '.(elO^'1 (.DG( ..,..,'/1 'I J <br /> I YI N I FEE CURRENT ~ <br /> License . I <br />COMPANY <br />REGISTEREO YIN FEE CURRENT ~ <br /> License . <br />COMPANY <br />REGlSTEREO YI N FEE CURRENT ~ <br /> License . <br />COMPANY <br />REGISTERED YIN FEE CURRENT ~ <br /> License . <br />COMPANY <br />REGISTEREO YIN FEE CURRENT ~ <br /> License # <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />Address <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />Address <br /> <br />OTHER <br />SIGNATURE <br /> <br />Address <br /> <br />RESIDENTIAL <br /> <br />Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construdion, <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 subdivisionsllarge projects <br />Al\ach (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 />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 $5000) <br /> <br />Agent (for the contractor) or Power of Attomey (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 (PloUSurveylFootage) <br />Driveways.-Not over Counter if on public roadways..needs ROW <br />