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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 />"7 ~~1 <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Namel <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Fee Simple Titleholder Address <br /> <br />JOB ADDRESS <br /> <br />5&(j ), <br /> <br />LOT # <br /> <br />/ .)-f:I'\ 51-fJuLT <br />I <br /> <br />Cl ADD/ALT D <br />D REPAIR <br />D COMM D <br />D FRAME D <br /> <br />h7 I-/J '7-0ol;t.~ S'-j?~ <br /> <br />BUILDING SIZE I SQ FOOTAGE1 I HEIGHT I <br />1111""11'11111""'111111111111111111111'1'111111111'1111111111111111111"11111111111111111111111111111111111111111111111.1111111111111111111111 <br /> <br />SUBDIVISION <br /> <br />PARCELlD#1 <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />DEMOLISH <br /> <br />WORK PROPOSED <br /> <br />B <br />D <br />D <br />I "-1 <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />OTHER <br />STEEL <br /> <br />I <br />D <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />OTHER I <br /> <br />DESCRIPTION OF WORK <br /> <br />0 BUILDING 1$ S t'~ I <br /> ;;. J-7 . <br />0 ELECTRICAL 1$ I <br />0 PLUMBING 1$ I <br />0 MECHANICAL 1$ I <br />0 GAS D ROOFING D <br />FINISHED FLOOR ELEVATIONS <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />WRE.C, <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />BUILDER <br />SIGNATURE <br /> <br /> <br />OTHER <br />DYES <br /> <br />DNO <br /> <br /> <br />I'~~LCI <br />Y/ N <br /> <br />5cha.pe, CDn~1. j;u,- <br />I FE~ CURRENT I Y / N I <br /> <br />License # Ieee tJ 5 if / J <j <br />/ <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <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 /> <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 />COMMERCIAL <br /> <br />Address License # <br />111111111111111111111111111111111111I1111111111111I111111111I1111111111111111111111111111111111111111111111111111111111111111111I11111111111111111 <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 />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 on site, 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 />Attach (2) sets of Engineered Plans. <br />....PROPERTY SURVEY required for all NEW construction. <br /> <br />SIGN PERMIT <br /> <br />DI~~~ii~~~': . . . . 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 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 AlC Fences (Plot/Survey/Footage) <br /> <br />,,'(, <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />