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<br />813-780-0020 <br /> <br />Date Received <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Name <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />B <br />D <br />o BLOCK D FRAME <br />1(\ ~ - Y oof- t..V {sD. i r <>.j ~S <br />I SQ FOOTAGE . <br /> <br />B <br />o <br /> <br />Fax-813-780-0021 <br /> <br />if 1S<fS <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />o SIGtl <br />~ ~-1' 00'" <br />o OTHER I <br />o STEEL 0 <br />~ ~CO S9: :PI- . <br />HEIGHT I v <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br /> <br />ADD/AL T <br />REPAIR <br />COMM <br /> <br /> <br />I <br />I <br /> <br /> <br />Fee Simple Titleholder Address I I <br /> <br />I Sa40 ~O~ ~ - 2~1H, ',ltS p& ~.~S-4d- I LOT # I I <br />I I PARCELID#I \~ -~-;;\\ -cx:tO-O-S\OO-ooro I <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />o MOVE 0 <br /> <br />DEMOLISH <br /> <br />OTHER I <br /> <br />1111111111111111111111111111111111111111111'111111111111111111"1'111""""'11111111111111"'111111111111111111111111'11111111111111111111111111 <br /> <br />1$ S-gSU I <br />1$ I <br />1$ I <br />1$ I <br /> <br />D GAS 0 ROOFING D SPECIALTY 0 OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />111I11111111111111111111111111111111I1111111I111111111I11111111111111111111111111111111111111111111111111111111111111111111111111111I1111111111111 <br /> <br />D BUILDING <br />D ELECTRICAL <br />D PLUMBING <br />D MECHANICAL <br /> <br />AMP SERVICE <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />BUILDER <br />SIGNATURE <br /> <br />Address <br /> <br />COMPANY <br />REGISTERED <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />Address <br /> <br />COMPANY <br />REGISTERED <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br />MECHANICAL I <br />SIGNATURE <br /> <br />Address <br /> <br />COMPANY <br />REGISTERED <br /> <br /> <br />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. Requiredonsite, Construction Plans, Stormwater Plans wi Silt Fence installed, <br />Sanitary Facilities & 1 dumpster; Site Work Permit for subdivlsions/large projects <br />Attach (3) 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 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 />OTHER <br />SI <br /> <br />Address <br /> <br />RESIDENTIAL <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Y I N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> License # <br />Y I N FEE CURRENT <br /> <br />YIN <br /> <br />Y/N <br /> <br />Y/N <br /> <br />Y/N <br /> <br />License # I <br /> <br />rY\"\rY'C\.Y\ ~(X)~YlV\ +r--(" <br />I l Y I N I FEE CURRErfl/ I Y I N I <br />License # ICCC'~5Q5 <br /> <br /> <br />1...1111...11........11......111...,11.1111.........11....11..........11..1111..11...1...1111.11.....111..........111....111................11.111 <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 />