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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 />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 />Fax-813-780-0021 <br /> <br />~ NEW CONSTR B ADD/All 0 SIGN D MOVE 0 DEMOLISH <br />INSTALL REPAIR <br />~ SFR D COMM 0 OTHER I <br />BLOCK D FRAME 0 STEEL D OTHER I <br />U (11) I() l\ In'\Cj~o(} <br /> I SQ FOOTAGE I HEIGHT I <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />0 BUILDING <br />0 ELECTRICAL <br />l3 PLUMBING <br />0 MECHANICAL <br />0 GAS <br /> <br />1$ <br />1$ <br />1$ C\rx) _eX) <br />1$ <br /> <br />o ROOFING <br />FINISHED FLOOR ELEVATIONS I <br /> <br />'Ilf "lllT lTT <br /> <br />I <br />I <br />I <br />I <br />D <br />I <br /> <br />DNO <br /> <br />D <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />PROGRESS ENERGY <br /> <br />W.R.E.C. <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />(ft~ 9i? <br />..~ <br /> <br />SPECIALTY 0 <br />FLOOD ZONE AREA <br /> <br />OTHER <br />DYES <br /> <br />BUILDER <br />SIGNATURE <br /> <br />FEE CURRENT <br /> <br />~ <br /> <br />COMPANY <br />REGISTERED <br /> <br />l.YL!:LJ <br /> <br />Address <br /> <br />ELECTRICIAN I <br />SIGNATURE . <br /> <br /> <br />Address~ ~] <br />PLUMBER ________ ./7 L 8BIlRANY <br />SIGNATURE I REG/STEREO <br /> <br />-- i/'t:iD,t=)~Cl46{.li ~(i~\\I <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />Address I <br /> <br />OTHER I <br />SIGNATURE <br /> <br />Address I <br /> <br />License # <br /> <br />COMPANY <br /> <br />REGISTERED <br /> <br />~ <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />]~l.ol 01 <br />COMPANY <br />_ REGISTERED <br /> <br />Y/ N <br /> <br />FEE CURRENT <br /> <br />~ <br /> <br />License # <br /> <br />COMPANY <br /> <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />~ <br /> <br />RESIDENTIAL <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />License # <br /> <br />Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-Q-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) 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. AU commercial requirements must meet compliance <br />Attach (2) sets of Engineered Plans. <br />....PROPERTY SURVEY required for all NEW construclion. <br /> <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 (PloVSurvey/Footage) <br />Driveways-Not over Counter if on public roadways..needs ROW <br />