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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />if ~V7 '? <br /> <br />Fax-813-780-0021 <br /> <br />Date Received <br /> <br /> <br />\r. <br /> <br />Owner's Name' ~ <br /> <br />OWn"sAdd,.ss ti:r\: ~~~ <br /> <br />Fee Simple Titleholder Name <br /> <br />JOB ADDRESS <br /> <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />I <br />D <br /> <br />I <br />OTHER\-\\~\~~ I <br /> <br />DESCRIPTION OF WORK <br /> <br />~EW CONSTR <br />~STAll <br />D SFR <br />D C <br /> <br />~ <br /> <br />'~ 3=f LOT# 13=b I <br />PARCEL 10#1 ~ -~~~\. -CXJ\(Y-0n~~-()~~ <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />D SIGN t=J MOVE D <br /> <br />D <br /> <br />DEMOLISH <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />~ <br /> <br />BUILDING SIZE I I SQ FOOTAGE HEIGHT I <br /> <br />~"'"''''''''.''''''''''''''''.'''''.''''''''' '~'K)"""" ,,,,,,,,,,,,,,.,,,, """,,""'" I""""""'" 'I"'''''' """'" ... <br /> <br />BUilDING 1$ es ~VAlUATION OF TOTAL CONSTRUCTION <br />~CTRICAl $' \f AMP SERVICE D PROGRESS ENERGY <br /> <br />PLUMBING <br /> <br /> <br />~\~\ <br /> <br />D <br /> <br />D MECHANICAL 1$ <br /> <br />D GAS D <br />FINISHED FLOOR ELEVATIONS 1 <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />ROOFING <br /> <br />I <br />D <br />1 <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />OTHER <br />DYES <br /> <br />DNO <br /> <br /> <br />1\ ~~ License # rt- ~\..~-YI~) <br /> <br />ry~~~, ~~(~ I <br /> <br />License # ~U~\=\C\)\ <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y / N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> License # <br />Y/ N FEE CURRENT <br /> License # <br /> <br />Y/N <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 />1'1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I11I1111111111111111111111111111111111 <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 w/ 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 w/ 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 />111111111111111111111111111111111111111111111111111111I1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <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. (A/C 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 />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />