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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 />if~ 5VflS <br /> <br />Owner's Address <br /> <br /> <br />SUBDIVISION <br /> <br />Date Recltived <br /> <br />Owner's Name <br /> <br />BUILDING SIZE <br /> <br />LOT# I <br />PARCELlD#1 .')3- U ... '2-1-- 6D iJD -' Ob hOb - OJ I () <br /> <br />D NEW CONSTR D ADD/ALT D <br />rn INSTALL D REPAIR <br />D SFR ~ COMM D <br />D BLOCK D FRAME D <br />It\~ Scz LA- ~, X ~~- <br /> <br />I SQFOOTAGEI6~O I <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br /> <br />SIGN ~ MOVE D <br /> <br /> <br />~;::~ ~t~ <br /> <br />DEMOLISH <br /> <br />JOB ADDRESS <br /> <br />WORK PROPOSED <br /> <br />~I'y <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />DESCRIPTION OF WORK <br /> <br />HEIGHT <br /> <br />I~( <br /> <br />D BUILDING <br />D ELECTRICAL <br />0 PLUMBING <br />0 MECHANICAL <br />0 GAS <br />FINISHED FLOOR ELEVA <br /> <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />ROOFING <br /> <br />I <br />I <br />I <br />D <br /> <br />AMP SERVICE D PROGRESS E"!ERGY D <br /> <br />J /L~ t/ ~H-{{ fl{)~ <br />f1 ( - ~ ~t{. <br />VALUATION OF MECHANICAL INSTALLATION ,":?J j\. " . <br /> <br />W.R.E.C, <br /> <br />1$ <br />1$ <br />1$ <br />D <br /> <br />SPECIALTY D OTHER <br />FLOOD ZONE AREA DYES <br /> <br />DNO <br /> <br />BUILDER <br />SIGNATURE <br /> <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N FEE CURRENT <br /> License # <br />YI N FEE CURRENT <br /> License # <br />Y I N FEE CURRENT <br /> License # <br />YI N FEE CURRENT <br /> License # <br />YI N FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <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 />Address License # <br /> <br />11111111111111111111111111' 111111111111111111 J 111111111111111111111111111111111 J J 111111111111111111111111111111111111111111111111 J II J 1111111111111 <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, StormwaterPlans 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 />1111I11111111111111II1I11I1111111111111111111I1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <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 NC Fences (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />