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<br /> <br />813-780-0020 <br /> <br />Date Received <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Namel <br /> <br />Fee Simple Titleholder Address <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 />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br /> <br />os <br />d.M1 Ln <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />I <br />'5 g(oO 3 <br /> <br />I <br /> <br />I <br />I LOT# I I <br />PARCEL ID#I 35-;;<S - :<1-. Of) SA - 00000- l/3D1 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />D SIGN D MOVE D <br /> <br />D <br />D <br /> <br />S~fY\ <br /> <br />~ HEIGHT <br /> <br />tij <br />D <br />D <br />I <br /> <br />ttUndbn m <br />I <br />E3 <br />D <br />D <br />ehj o/Lt ALec <br /> <br />I SQ FOOTAGE I <br /> <br />DEMOLISH <br /> <br />ADD/ALT <br />REPAIR <br /> <br />COMM <br />FRAME <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />I <br />D <br />2~ <br /> <br />OTHER <br />STEEL <br /> <br />OTHER I <br /> <br />BUILDING SIZE <br /> <br />TTllTTITIII J I , II J 11111111111 J ' 1111111111111111111111 J I , 111111 J II , , , , 1I111111111111 ' , , 1111I111 , , 11111111111111 , 111111 , 1111111111 , II J II Jill' II J 11111 <br /> <br />1$ I <br />1$ I <br />1$ I <br />1$ It 700. 00 I <br /> <br />o GAS D ROOFING D SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII!IIIIIIIII1I11111111111111111111111111111111111111111111111111111111111111111111111111111111I11111I111 <br /> <br />0 BUILDING <br />0 ELECTRICAL <br />0 PLUMBING <br />~ MECHANICAL <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />D <br /> <br />W.R.E.C, <br /> <br />PROGRESS ENERGY <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />BUILDER COMPANY <br />SIGNATURE REGISTERED Y / N FEE CURRENT Y/N <br />Address License # <br />ELECTRICIAN COMPANY <br />SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br />Address License # <br />PLUMBER COMPANY <br />SIGNATURE REGISTERED Y / N FEE CURRENT Y/N <br />Address License # I <br />MECHANICAL I ~i; " A(~CUR~WLfa:;~ I <br />SIGNATURE <br />Address License # ICACOSgS75" <br />OTHER COMPANY <br />SIGNATURE REGISTERED Y/N FEE CURRENT Y/N <br /> <br /> <br />Address License # <br /> <br />111111111111111111111111111111111111111111111111111111111111111I111111111111111111111111111111111111111111111I111111111111111I1111111111111111111I <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 subdivisionsllarge projects <br />COMMERCIAL 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 />SIGN PERMIT Attach (2) sets of Engineered Plans. <br />....PROPERTY SURVEY required for all NEW construction. <br /> <br />iii~~~ti~~~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 I . . . I . . I . . . . I . . I . . . . . . I . . . . I <br /> <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 Ale Fences (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />