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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit APPlication. .y . B/}~ (f <br />Building Department 'tFY. 1/7, <br /> <br />Fax-813-780-0021 <br /> <br />Date Received <br /> <br /> <br />~-( <br />\ \ <br />Owner's Address h~'--\.~ ~~~~ <br />Fee Simple Titleholder Namel <br /> <br />Owner's Name <br /> <br />SUBDIVISION <br /> <br />t~~\U'\~ <br /> <br />I <br />I <br />I <br />1:-)'\\0'-\\ ,,-'p~~~~~ .~~. I LOT# 13::::D I <br />PARCEL ID# 1 2>-\ ~~\ -(~(J ~~.. D~~ I <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />D SIGN D MOVE D <br /> <br />D I \:,,~~ <br />D OTHER I <br /> <br />Fee Simple Titleholder Address <br /> <br />JOB ADDRESS <br /> <br />WORK PROPOSED <br /> <br />~bJ.EW CONSTR <br />Q/jNSTALl <br />D SFR <br />OCK <br /> <br />~/AlT <br />t=j REPAIR <br />D COMM <br />ME <br /> <br />DEMOLISH <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />DESCRIPTION OF WORK <br /> <br /> <br />BUILDING SIZE I I sa FOOTAGE ~ HEIGHT I I <br /> <br />~~.,....."........,.....,....,.......,....,....,....,...............,.".......,...,........."....................."..."."..,.".,. <br /> <br />BUllDINGI$~ 0'\\ ~:~\.p VALUATION OF TOTAL CONSTRUCTION <br />~~CTRICAl 1$ . · AMP SERVICE D PROGRESS ENERGY <br />1$ <br /> <br />D MECHANICAL 1$ <br /> <br />D GAS D <br />FINISHED FLOOR ELEVATIONS I <br /> <br />D <br /> <br />-=s\(~~ <br /> <br />PLUMBING <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />ROOFING <br /> <br />D <br />I <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />OTHER <br /> <br />DYES <br /> <br />DNO <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />:~~~~RE '--- I ;~::.': 1\~~~~~. <br />Add~~~(~ir~ I '~~\..o Licen~e# ~~\\'Q I <br />ELECTRICI . COMPANY I~ \ \ \Z-\' B~ t (' \ . I <br />SIGNATURE. , ~. . RE",""REDI YI N I -\",CU",,,,, ~Y~ <br />Address \ ~\~\~C'C\ License # ILU~\C;~\ I <br /> <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br /> <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/ N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <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 />License # <br /> <br />1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I111111111111111111111111111111111111 <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 Pians 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 />1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I111111111111111111111111111111111 <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. (A1C 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 (PloUSurvey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />