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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit APPlicationf Y11L <br />Building Department . I ZJ b <br /> <br />Fax-813-780-0021 <br /> <br />Date Received <br /> <br /> <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Namel n ( A <br /> <br /> <br />Fee Simple Titleholder Address I <br /> <br />JOB ADDRESS 139 0 ~O 19~~ LOT # <br />SUBDIVISION I I PARCELlD#II",}.-,J.u,"d-1 . 003D ~ 00107) ~f):J <(.{) <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED E3 NEW CONSTR B ADD/ALT D SIGN D MOVE D DEMOLISH <br /> INSTALL REPAIR <br />PROPOSED USE D SFR D COMM D OTHER I <br />TYPE OF CONSTRUCTION D BLOCK D FRAME D STEEL D OTHER I <br />DESCRIPTION OF WORK I \ '8 1::7 .")h~~, tU '/\..006 L\ P' "I:[l AD~c: ~O"~~ <br /> I saQ FOOTAGE I <br />BUILDING SIZE I HEIGHT <br /> <br />1'1. . . I I , I . . . . I r I . . . I I ',' I . . . . I . . I . I I . I . I , ft P . , . , . , , . . . I I . , . I . I . I I . . . . I I . . . . "I I I . . . I I . . . . . . . . I I I . I . . . I II . . . . . , . , I I I . . . . . . . I I I I . . . . . . . . . . . . . . . . . . . . . . . <br /> <br />D BUILDING <br />D ELECTRICAL <br />D PLUMBING <br />D MECHANICAL <br />D GAS <br /> <br />1$ 5 I 05&. at) <br /> <br />1$ <br /> <br />1$ <br /> <br />1$ <br /> <br />D ROOFING <br />FINISHED FLOOR ELEVATIONS <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />D <br /> <br />SPECIALTY D OTHER <br />FLOOD ZONE AREA DYES <br /> <br />DNO <br /> <br />Address <br /> <br /> <br />~~T ~~ I~L' <br /> <br />License # Ieee {) sg / 31 <br /> <br />BUILDER <br />SIGNATURE <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> License # <br />Y / N FEE CURRENT <br /> License # <br /> <br />Y/N <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />111111111111111 1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <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 onsite, 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 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 />SIGN PERMIT Attach (2) sets of Engineered Plans. <br />....PROPERTY SURVEY required for all NEW construction. <br />1111111111111111111111111111111111111111111111111111111111111111111111111111111111I111111111111111111111111111111111111111111111111111111111111111 <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. (A1C 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 A1C Fences (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />