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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-o021 <br /> <br />If 1,5b <br /> <br />Owner's Nam <br /> <br /> <br />~ Owner Phone Number <br /> <br />:I: fCfwner ~hone Number I <br /> <br />~~ti?one Number I <br /> <br />. Date Received <br /> <br />Fee Simple Titleholder Address <br /> <br />SUBDIVISION <br /> <br /> <br />JOB ADDRESS <br /> <br />D ~~~ 0 ~~ ~~ <br />D INSTALL ~ REPAIR . \ <br /> <br />PROPOSED USE 0 SFR ~ COMM 0 OTHER I I/#~~) <br /> <br />TYPE OF CONSTRUCTION 0 BLOCK c:? FRAME 0, STEEL. 0 OTHER I . 7- ~- 0/)'2-G. 5"'-,c("y..f t- <br /> <br />'''''''''''''''',.,"'' ~I ,Jeu)&b~ an ev~ g.r,.-",-oJ-a..-~~ <br />BUILDING SIZE N A I SQ FOOTAGE I I Z4 i 1011' 'H~GHT I :2/ / - 5" ~I U? <br /> <br />WORK PROPOSED <br /> <br /> <br />D BUILDING 1$ I VALUATION OF TOTAL CONSTRUCTIO ~OOO cS <br /> / <br />D ELECTRICAL 1$ I AMP SERVICE 0 PROGRESS ENERGY D W.R.E.C. <br /> ~Dll <br />D PLUMBING 1$ I <br />D MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION <br />D GAS D ROOFING 0 SPECIALTY 0 OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />Address <br /> <br /> <br />BUILDER <br />SIGNATURE <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />Address <br /> <br /> License # <br /> l...Y.!....!::U FEE CURRENT l...Y.!.!:!.... <br /> License # <br />COMPANY <br />REGISTERED l...Y.!....!::U FEE CURRENT l...Y.!.!:!.... <br /> License # <br />COMPANY <br />REGISTERED l...Y.!....!::U FEE CURRENT l...Y.!.!:!.... <br /> License # <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />Address <br /> <br />MECHANICAL I <br />SIGNATURE . <br /> <br />Address I <br /> <br />OTHER I <br />SIGNATURE <br /> <br />Address I <br /> <br />RESIDENTIAL <br /> <br />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 Sill Fence installed, <br />:.iiiii~jj i~~m~&ii .:;. ~ di.iil-i;.;~i.oi-; :;;i.~ ~";vii.. rbiii-iii IUi ~uuui-yiaiuiii:i;'iaf9t:t proje\;1:s <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 onsile. 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 />Attach (2) sets of Engineered Plans. <br />....PROPERTY SURVEY required for all NEW construction. <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Dlrecllons: <br />Fill out application completely. <br />Owner & Contractor sign back of application, notarized <br />If over $2500, a Nollce 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 (PlollSurveylFootage) <br />Driveways-Not over Counter if on public roadways..needs ROW <br />