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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application lJ- 1 ~ 31 <br />Building Department ""ft <br /> <br />Fax-813-780-o021 <br /> <br />5/~ <br /> <br />~" 'YH . <br /> <br />Owner Phone Number ~/3 - ~KtS- 7?1..f.J-I I <br />"- ...... .~.., 1&5 ~ S6 ? '71 i <br /> <br /> <br />:::::~7-i ~~Tl9' co," ~~ <br />'"'''''''.0. " ~,: · _ 'ARC"- '''' I C>j .;liP '.;> I - ti'i. 0 ' (;();J.CQ , (;() 60 I <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br /> <br /> <br />Owner's Name <br /> <br />Date Received <br /> <br />WORK PROPOSED <br /> <br />~ <br />[g <br />o <br />I <br /> <br />NEW CONSTR <br />INSTALL <br /> <br />SFR <br /> <br />BLOCK <br /> <br />B <br />D <br />D <br /> <br />ADD/ALT <br />REPAIR <br /> <br />COMM <br /> <br />FRAME <br /> <br />o <br />o <br />o <br /> <br />OTHER I <br />STEEL :2] <br /> <br />SIGN 0 <br /> <br />MOVE 0 <br /> <br />DEMOLISH <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />OTHER I <br /> <br />DESCRIPTION OF WORK <br /> <br />SQ FOOTAGE I <br /> <br />HEIGHT I <br /> <br />BUILDING SIZE <br /> <br />1$ <br /> <br />1$ <br /> <br />~ PLUMBING 1$ Clot) , <br /> <br />o MECHANICAL 1$ <br /> <br />o GAS 0 <br />FINISHED FLOOR ELEVATIONS I <br /> <br />o <br />o <br /> <br />BUILDING <br /> <br />-- <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 />o <br /> <br />W.R.E.C. <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />ELECTRICAL <br /> <br />ROOFING <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br />SPECIALTY 0 OTHER <br />FLOOD ZONE AREA DYES ONO <br />COMPANY <br />REGISTERED Y/ N FEE CURRENT l...YL!::U <br /> License # <br />COMPANY <br />REGISTERED Y/N FEE CURRENT l...YL!::U <br /> License # <br />COMPANY <br />REGISTERED Y/ N FEE CURRENT l...YL!::U <br /> License # <br /> <br />BUILDER <br />SIGNATURE <br /> <br />Address <br /> <br />ELECTRICIAN I <br />SIGNATURE . <br /> <br />Address I <br /> <br />PLUMBER I <br />SIGNATURE <br /> <br />Address I <br /> <br />Address <br /> <br /> <br />RESIDENTIAL <br /> <br />Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-Q-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 />Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-Q-W Permit for new construction. <br />Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Storm water Plans w/ 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 /> <br />MECHANICAL <br />SIGNATURE <br /> <br />Address <br /> <br />I Y / N I FEE CURRENT l...YL!::U <br />License # , <br />I ~:.f1DW WLhY/ {j)n:.n.Jch-r'2> <br /> <br />_N I FEE CURRENT ~ <br /> <br />License # I (;OLflf/ A- <br /> <br />OTHER <br />SIGNATURE <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 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 <br />Driveways-Not over Counter if on public roadways. .needs ROW <br /> <br />Fences (PioUSurvey/Footage) <br />