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<br />813-780-0020 <br /> <br />Date Received <br /> <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br />Owner's Name <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Nam <br /> <br />Fee Simple Titleholder Address <br /> <br />WORK PROPOSED <br /> <br />B <br />D <br />D <br />I <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />I <br />B <br />D <br />D <br /> <br />I LOT# I <br />PARCELlD#Ll'f- '4 -" 2( - 0010- Dl-7oo,.. oaff <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN 0 MOVE D <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br />FRAME <br /> <br />D <br />D <br />D <br /> <br />DEMOLISH <br /> <br />OTHER <br />STEEL <br /> <br />I <br />D <br /> <br />OTHER I <br /> <br />DESCRIPTION OF WORK <br /> <br />SQ FOOTAGE I <br /> <br />HEIGHT I <br /> <br />D <br /> <br />BUILDING <br /> <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />BUILDING SIZE <br /> <br />D ELECTRICAL <br />D PLUMBING <br />D MECHANICAL <br /> <br />D GAS <br /> <br />FINISHED FLOOR ELEVATIONS I <br /> <br />ROOFING <br /> <br />I <br />I <br />I <br />D <br />I <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />SPECIALTY D OTHER <br />FLOOD ZONE AREA DYES <br /> <br />DNO <br /> <br />III"f.,,"II"II'II'I'III""'II'II',,'I'II,'I'I'I".1111'1"'11"""".""."'111'11'1""1'1111'111"".""111'111"1111'..."....'.,111'111 <br /> <br />BUILDER COMPANY <br />SIGNATURE REGISTERED Y/ N FEE CURRENT <br />Address License # <br />ELECTRICIAN I COMPANY <br />SIGNATURE REGISTERED Y/N FEE CURRENT <br />Address I License # <br />PLUMBER I COMPANY <br />SIGNATURE REGISTERED Y / N FEE CURRENT <br />Address I License # <br /> <br />Y/N <br /> <br />Y/N <br /> <br />Y/N <br /> <br />Address <br /> <br /> <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />OTHER <br />SIGNATURE <br /> <br />Address <br /> <br />License # <br /> <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 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 />1111111111111111111111111I111111111111111111111111111111111111111111111111111I111111111111111111111111111111111111111111I11111111111111111111I11II <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 A/C Fences (PloUSurvey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />