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<br />"-780-0020 <br /> <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Jived <br /> <br />.er's Name <br /> <br />,,v~ <br /> <br />Jwner's Address <br /> <br />Fee Simple Titleholder Namel <br /> <br />Fee Simple Titleholder Address <br /> <br />LOT # <br /> <br />DESCRIPTION OF WORK <br /> <br />I <br /> <br />o ADD/ALT 0 <br />CJ REPAIR <br />o . COMM 0 OTHER <br />o FRAME 0 STEEL 0 OTHER I I <br /> <br />.2 I r :FOOT~r . ~ ~..I...~~..~...".....I..".,."..,....".",~ <br /> <br /> <br />I .. I I I I . I . . I . . . . I . . . . I I . . . I I . . . . . . . I I I . . ~ I I I I . . . . I I . . . I . I . . . . . . . . . . . . I . . . . . . . I . . . , I ~ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . <br /> <br />PARCEL ID#I <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN 0 MOVE 0 <br /> <br />DEMOLISH <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />fi] <br />~ <br />I <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />WORK PROPOSED <br /> <br />BUILDING SIZE <br /> <br />o BUILDING 1$ I <br /> <br />o ELECTRICAL 1$ I <br />o PLUMBING 1$ I <br /> <br />o MECHANICAL 1$ '3 i 91J. dU I <br /> <br />o GAS 0 ROOFING 0 SPECIALTY 0 OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br /> <br />111"1'1"'1'1"'1'1"""""11""""'11""1"'111.'1".1":""""""""1"""'1'1""1""11'1"1''1"'1'1'1""1'1"1"""""1""1" <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />PROGRESS ENERGY <br /> <br />o <br /> <br />W,R.E,C <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />COMPANY <br />REGISTERED <br /> <br />BUILDER <br />SIGNATURE <br /> <br />Y / N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br /> <br />License # <br /> <br />License # <br /> <br />Address <br /> <br />COMPANY <br />REGISTERED <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />OTHER COMPANY <br />SIGNATURE REGISTERED Y / N FEE CURRENT Y / N <br /> <br />Address I I License # I I <br /> <br />11111111111111I111111111111111111111111111111111111111111111111111111111111111111;11111111111111111111111111II1I1111111111111111111111111111111111 <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 />11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I11 <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 /> <br />License # I <br /> <br />~.A,~" (_~!Ir/'l-JJ1L <br />. Y / N FEE CURRENT Y / N I <br />License # I / S~ <br /> <br />Address <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />Address <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />