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<br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br />813-780-0020 <br /> <br />Owner's Name .LJ' .:~; .::5.5' / ' <br /> <br />Owner's Address I ~ fSJ Y 7 <br />Fee Simple Titleholder Namel <br /> <br /> <br />Date Received <br /> <br />Fee Simple Titleholder Address <br /> <br />JOB ADDRESS <br /> <br />5AFIA )" <br /> <br />LOT # <br /> <br />DESCRIPTION OF WORK <br /> <br />B <br />o <br />o <br />I ~e.~ <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />I PARCEL ID#I <br /> (OST AINED FROM PROPERTY TAX NOTICE) <br />B ADD/All 0 SIGN D MOVE 0 DEMOLISH <br />REPAIR <br />D COMM 0 OTHER I <br />D FRAME 0 STEEL D OTHER I <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />BUILDING SIZE <br /> <br />I <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 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 I I <br /> <br />Ilk I/A// 'r <br />(. <br />sa FOOTAGE I <br /> <br />HEIGHT I <br /> <br />D BUILDING 1$ <br /> <br />D ELECTRICAL 1$ <br /> <br />D PLUMBING 1$ <br /> <br />D MECHANICAL 1$ J <br /> <br />D GAS 0 <br />FINISHED FLOOR ELEVATIONS I <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 />l) <f' :J ~.J () <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />ROOFING <br /> <br />D <br />I <br /> <br />SPECIALTY 0 <br />FLOOD ZONE AREA <br /> <br />OTHER <br />DYES <br /> <br />DNO <br /> <br />II"'II""IP"""""""""""""."""""""""11""""""""'1'1'1""1",,"""'1"'."'".".,.,.",.."..."...1'...1....1..11 <br /> <br />COMPANY <br />REGISTERED <br /> <br />BUILDER <br />SIGNATURE <br /> <br />Y I N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> License # <br />Y I N FEE CURRENT <br /> License # <br /> <br />Y/N <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />COMPANY <br />REGISTERED <br /> <br />COMPANY <br />REGISTERED <br /> <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y / N FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />111I1111111I1111I1111I111111111I11111111111111111111I111111111I11111111111111111111111111111111111111111111111111111111111111111111111111111111111 <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 wI 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 />1111I111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <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. (Ale upgrades over $5000) <br /> <br />Agent (for the cqntractor) 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 (PloUSurvey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />