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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 />Owner's Name <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Name <br /> <br />Fee Simple Titleholder Address <br /> <br />JOB ADDRESS <br /> <br />LOT# <br /> <br />PARCEL ID#/ <br /> <br />WORK PROPOSED <br /> <br />B <br />D <br />D <br />I <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />I <br />B <br />D <br />D <br /> <br />(OST AINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />DEMOLISH <br /> <br />SUBDIVISION <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br />FRAME <br /> <br />D <br />D <br />D <br />I)t-t ;' <br /> <br />BUILDING SIZE <br /> <br />p/c <br />I <br /> <br />C' It c:; "-c 57 <br />;) <br />SQ FOOTAGE I <br /> <br />OTHER I <br />STEEL D OTHER I <br /> <br />d- ~ 7<-.~ <br /> <br />HEIGHT 1_ <br /> <br />DESCRIPTION OF WORK <br /> <br />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 . . . II . I I . . . . . . I . . I I I . I . I . I I I I . I . . . . . . . . . . . . . . . . . . . <br /> <br />D BUILDING 1$ <br />D ELECTRICAL 1$ <br />D PLUMBING 1$ <br />D MECHANICAL 1$ :5 C? tJi)~ <br />D GAS D ROOFING D <br />FINISHED FLOOR ELEVATIONS I I <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENER~- <br /> <br /> <br />, Zl1U <br /> <br /> <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY D OTHER <br />FLOOD ZONE AREA DYES <br /> <br />DNO <br /> <br />< <br /> <br /> <br />BUILDER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y I N FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />ELECTRICIAN I <br />SIGNATURE . <br /> <br />Address I <br /> <br />PLUMBER I <br />SIGNATURE <br /> <br />Address I <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y I N FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />COMPANY <br />REGISTEREO <br /> <br />Y I N FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br /> <br /> <br />License # <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br /> <br />I S> ::2- <br /> <br />License # <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />11111II11111I1I1111111111111111111I1111111I11111111111II1111I111I1111111111111I1111111111111111I111111111111111II1111111111I111111I11111111IIII1II <br />RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy FDrms; R-O-W Permit for new constructiDn, <br />Minimum ten (10) working days after submittal date. Required onsite, ConstructiDn Plans, Stormwater Plans wI Silt Fence installed, <br />Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/Jarge projects <br />COMMERCIAL Attach (3) cDmplete sets of Building Plans plus a Life Safety Page; (1) set Df Energy Forms. R-O-W Permit fDr 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 cDmmercial requirements must meet cDmpliance <br />SIGN PERMIT Attach (2) sets of Engineered Plans. <br />''''PROPERTY SURVEY required fDr all NEW constructiDn. <br />II1111111111111111II1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I1111111111111111 <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 PDwer of Attorney (for the owner) would be someone with notarized letter from owner authDrizing same <br /> <br />OVER THE COUNTER PERMITTING (Front of Application Only) <br />Reroofs Sewers Service Upgrades NC Fences (PIDUSurvey/Footage) <br /> <br />License # <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />