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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 />" C6{1 D <br /> <br /> <br />Date Ret:eit'ed . <br /> <br />Fee Simple Titleholder Address I <br /> <br />I set l{'") <br />I <br /> <br />JOB ADDRESS <br /> <br />C1}Y) <br /> <br />~.e~t- I LOT# I <br /> <br />PARCEL ID#U \ -Zc, -2-1 - Do; 0- ooGCO -ot , 0 <br />(OBTA'NED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE 0 <br /> <br />SUBDIVISION <br /> <br />I <br />@ NEW CONSTR D <br />INSTALL D <br />. <br />PROPOSED USE c:;J SFR D <br />TYPE OF CONSTRUCTION 0 BLOCK D FRAME 0 <br /> <br />DESCRIPTION OF WORK I ~ Ie. -n:XJcJlOV,! ~ sh in '?J €.S <br /> <br />BUILDING SIZE I SQ FOOTAGE _ \ 5_ I HEIGHT <br /> <br />"'..111....'...11......11.11......'11...........11...111...11..'11.........1111...111...111..11......1111.......'111111...1111111..111.11......11.. <br /> <br />to <br /> <br />WORK PROPOSED <br /> <br />AD DIAL T <br />REPAIR <br />COMM <br /> <br />o <br />o <br /> <br />DEMOLISH <br /> <br />OTHER I <br />STEEL D <br /> <br />OTHER I <br /> <br />ROOFING <br /> <br />I <br />I <br />I <br />I <br />D <br />I <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E,C <br /> <br />D BUILDING 1$ ~q 50 . <br /> <br />D ELECTRICAL 1$ <br /> <br />D PLUMBING 1$ <br /> <br />D MECHANICAL 1$ <br /> <br />D GAS ~ <br />FINISHED FLOOR ELEVATIONS 1 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY 0 <br />FLOOD ZONE AREA <br /> <br />OTHER <br />DYES <br /> <br />DNO <br /> <br />, . I I I . . . I I I I I I I 1 I I 1 , I , . . I I I I , , ~ I P . I I . . . I I t I I I , I It' , r I I I . I I I I , , . I , I . . . . I . I I I I , P . . , 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 , 1ft. I . I <br /> <br />BUILDER COMPANY <br />SIGNATURE REGISTERED Y/N FEE CURRENT Y/N <br />Address License # <br />ELECTRICIAN COMPANY <br />SIGNATURE REGISTERED Y I N FEE CURRENT Y/N <br />Address License # <br />PLUMBER COMPANY <br />SIGNATURE REGISTERED YI N FEE CURRENT Y/N <br />Address License # <br />MECHANICAL COMPANY <br />SIGNATURE REGISTERED YI N FEE CURRENT Y/N <br />Address License # I <br />OTHER ~~ (i;co'f\ <br />SIGNATURE FEE CURREN~ I Y/N I <br />Address License # Ieee ( ~ '2.- S-)--O S <br /> <br /> <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 wI 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 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 />1111111'11'1111'11111111111111111111111111111111111111111111111111111111111111111'11111111111'11111111111111111111111111111111I11I1111111111111111 <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 (PloUSurvey/Footage) <br /> <br />Driveways-Not over Counter if on public roac;lways..needs ROW <br />