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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 /> <br />Date Received <br /> <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Namel <br /> <br />JOB ADDRESS <br /> <br />Fee Simple Titleholder Address I <br /> <br />I ~ 9 ? / fY1e.k~b!i.lle, <br />I C{e~i/JtP1IJ Hitf&. I <br /> <br />E3 ADD/ALT D <br />REPAIR <br />D COMM D <br />D FRAME D <br /> <br />6~A 110' S~ 9en.5 <br /> <br />SQ FOOTAGE I J <br /> <br />SUBDIVISION <br /> <br />(!/f\ , <br /> <br />PARCEL ID#I <br /> <br />LOT # <br /> <br />DESCRIPTION OF WORK <br /> <br />@ <br />D <br />D <br />I (Mtt./J <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />DEMOLISH <br /> <br />WORK PROPOSED <br /> <br />OTHER I <br />STEEL D <br /> <br />I\=r= <br />"j'l&r <br />HEIGHT . <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />OTHER I <br /> <br />BUILDING SIZE <br /> <br />I <br /> <br />I .p I . I . . . . I I I I . pI' 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 . . . . . I . I I . . I I I . . . I I . . . I I . . I . I II I . I . . . . . I I I I I . . . . I . I I I I . . . . . . . . . . . . . . . . . r . . . . <br /> <br />~ ~i P..-.J <br /> <br />ROOFING <br /> <br />I <br />I <br />I <br />I <br />D <br />I <br /> <br />AMP SERVICE D PROGRESS ENERGY D W.R.E.C <br />~ <br />~1?':r .( <br /> <br />VALUATION OF MECHANICAL INSTALLATION ~ ~ J 9 <br /> <br />SPECIALTY D OTHER <br />FLOOD ZONE AREA DYES <br /> <br /> <br />1$ <br /> <br />1$ 1,ObJ.Jf <br /> <br />1$ <br /> <br />1$ <br /> <br />c=J GAS c=J <br />FINISHED FLOOR ELEVATIONS I <br /> <br />c=J <br /> <br />BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />err <br /> <br />ELECTRICAL <br /> <br />c=J <br />c=J <br /> <br />PLUMBING <br /> <br />MECHANICAL <br /> <br />DNO <br /> <br />,.,1.,..........111..11..11111.11"'.'.'.11""""","""""'1""1"11111111"""""111111""""'"1""'11'1"""'111""111111""'11' <br /> <br />BUILDER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y / N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br /> <br />Addres <br /> <br /> <br />License # I <br /> <br />,~f)~ri~f/N <br /> <br /> <br />License # I <br /> <br />PLUMBER <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 />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 License # <br />111111I11111111 1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <br />RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction, <br />Minim.um ten (10) working days after submittal date. Required onsite, Construction Plans, Strrmwater 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. ~-O-W Permit for new construction. <br />Minimum ten (10) working days after submittal date. Required on site, Construction Plans, St rmwater Plans w/ Silt Fence installed, <br />Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requir ments must meet compliance <br />SIGN PERMIT Attach (2) sets of Engineered Plans. <br />""PROPERTY SURVEY required for all NEW construction. <br /> <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) I <br /> <br />Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from ov?ner authorizing same <br />I <br />OVER THE COUNTER PERMITTING (Front of Application Only) I <br />Reroofs Sewers Service Upgrades AlC Fences (PloUSurvey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />