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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax -813-780-0021 <br /> <br />Owner's Name <br /> <br /> <br />\J :s ..0'::'0 t\J <br />I S04~ {lotL Sl <br /> <br /> <br />Date Reteived <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Namel <br /> <br />Fee Simple Titleholder Address I <br /> <br />504~ ~ -tL. s\ <br />: <br /> <br />S3~L{d-1 <br /> <br />2eP~r~I'l~ ~( <br /> <br />I PARCEL 10#1 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />E3 NEW CONSTR 0 ADD/AL T ~ SIGN D MOVE D <br />INSTALL D REPAIR <br />~ SFR D COMM D OTHER <br />D BLOCK D FRAME D STEEL D <br /> <br />I ~v<- .t ~lk~ Q-W\~v'::> Sl~ W S~ <br /> <br />I SQ FOOTAGE I I HEIGHT I <br /> <br />LOT # <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />DEMOLISH <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />OTHER I <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />If. . I I . . . . I I ~ P . 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 . . II . . . . I I I I . . . . I I . . I I . . . . . I I I I . I I . , . I . I . . I . I . . . . <br /> <br />m BUILDING 1$ <br />D ELECTRICAL 1$ <br />D PLUMBING 1$ <br />D MECHANICAL 1$ <br />D GAS D <br />FINISHED FLOOR ELEVATIONS <br /> <br />11-) 00'0 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />ROOFING <br /> <br />I <br />I <br />I <br />I <br />D <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 />BUILDER <br />SIGNATURE <br /> <br /> <br />SPECIALTY D OTHER <br />FLOOD ZONE AREA DYES <br /> <br />DNO <br /> <br />{{vJ(L <br /> <br />I <br /> <br />1,!200icA L- oLOoh~ <br />I Y / N I FEE CURRENT I Y / N I <br /> <br />License # ~ {0 GI S') D II Q <br /> <br />Address <br /> <br />COMPANY <br />REGISTERED <br /> <br />ELECTRICIAN <br />SIGNATURE <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 I11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111II11111111111111111111 <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 onsile, 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 />111111I11111111111111111I1111111111111111111111111111111111 11111 11111 III III 11111 11111 11111 11111 11111 11111 III I 111111111111111111111111111111111I11I <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 (PloUSurvey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />