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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 />Date Received <br /> <br /> <br />Ll <br />P~;d~+ Uv <br /> <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Owner's Name <br /> <br />Fee Simple Titleholder Address <br /> <br />JOB ADDRESS "35 '3<1 Pm;J.D+ L"J LOT # <br />SUBDIVISION €me?Z~t) PoIN1- /nil;::' I PARCEL ID#I <br /> ~ (OBTAINED FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED B NEW CONSTR B ADD/ALT SIGN 0 MOVE D DEMOLISH <br /> INSTALL REPAIR <br />PROPOSED USE D SFR D COMM D OTHER I <br />TYPE OF CONSTRUCTION D BLOCK D FRAME D STEEL 0 OTHER I <br />DESCRIPTION OF WORK I ~.tJ -11Z ;?dE ~v !lob/C.-tiLl t~ '30 1ht1.~ fu s-c l'fh)~ <br /> , , . <br />BUILDING SIZE I SQ FOOTAGE I I HEIGHT I <br /> <br />I'. . . I . . . I I . r . 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 . r . . . . <br /> <br />o <br /> <br />BUILDING <br /> <br />1$ <br /> <br />[]:J ELECTRICAL 1$ 400 a-o <br /> <br />o PLUMBING 1$ <br /> <br />o MECHANICAL 1$ <br /> <br />o GAS D <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 />ROOFING <br /> <br />5"0 // <br /> <br /> <br />VAlUATION OF MECHANICAlINSTAlLATI( .:f ~ <br /> <br />--- <br />D SPECIALTY D OTHER --.... <br /> <br />I FLOOD ZONE AREA DYES DNO <br /> <br />111""'111'.""..11'1""111111"1111"11"11111""11111'..'111""11'1'11"11111111111'111..""111'..'...""111'......111".,.....'.'1111'11 <br /> <br />BUILDER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />ELECTRICIAN I /Y){ A Il ~ <br />SIGNATURE . ~ <br /> <br />Address I <br /> <br />PLUMBER I <br />SIGNATURE <br /> <br />Address I <br /> <br />MECHANICAL I <br />.SIGNATURE . <br /> <br />Address I <br /> <br />OTHER I <br />SIGNATURE <br /> <br />Address I <br /> <br />111111111111111111I111I11111111111111I1111I1111111111111111111111111111111I1111111111111111111111111111111111111111111111.1111111111111111111111111 <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 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 />111111111I1111111111111111111I1111I111111111111I111111111111111111111111111I111111111111111111111111111111111111111I1111111111111I111111111111111I <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 (Plot/Survey/Footage) <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br /> <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 />COMPANY <br />REGISTERED <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />