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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 /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Namel <br /> <br />WORK PROPOSED <br /> <br />Fee Simple Titleholder Address I <br /> <br />13.77// W4ff~~ _;!.~ <br />I I PARCEL 10#1 <br /> <br />~ <br /> <br />TYPE OF CONSTRUCTION D BLOCK D FRAME D STEEL 0 OTHER I I <br /> <br />DESCRIPTION OF WORK IZ~ /32f Z N"""';~ ..&.- ?'1~~~=3 'l~~J <br /> <br />BUILDING SIZE I ,_ _ SQ FOOTAGE _ _ '" l HEIGHT _ _ _ _ <br /> <br />JOB ADDRESS <br /> <br />LOT# <br /> <br />SUBDIVISION <br /> <br />PROPOSED USE <br /> <br />fi3 <br />D <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br /> <br />D <br />D <br /> <br />(OST AINED FROM PROPERTY TAX NOTICE) <br /> <br />SIGN 0 MOVE D <br /> <br />DEMOLISH <br /> <br />OTHER <br /> <br />'r...II...III...,IIII..II'.III..III..."'.......""I,.'.111..1111.....'",..,...."...11."..11......1111..1111'1'11111""1111111111111"'1"1" <br /> <br />D <br /> <br />1$ <br /> <br />1$ 36~ de? <br />1$ <br /> <br />1$ <br /> <br />DGAS D <br />FINISHED FLOOR ELEVATIONS I <br /> <br />BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />ELECTRICAL <br /> <br />AMP SERVICE/..?"~ <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />D <br />o <br />D <br /> <br />PLUMBING <br /> <br />MECHANICAL <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 />DYES <br /> <br />DNO <br /> <br />",p",,"""11111111111111111'II""""II"'IIII'"1'111111"""1111111111111'1"","'1"",1111"1""""'11""""","'111111111'111"" <br /> <br />BUILDER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y / N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />~f1~~{~ I Y/N I <br /> <br />~41V License# 1&~J:f"t12.:5'l~ <br />- <br /> <br />Address <br /> <br />Address <br /> <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y I 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 I 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 I N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />I1I111111111111 11111111111111111111111111I11111111111111111111111111111111111111111111111111111111111111111111111111111111111111I1111111111111111 <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 subdivisionsllarge 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 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 />11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <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 AlC Fences (PloUSurvey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />