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<br />813-780-0020 <br /> <br /># S2h/1 <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br />Owner's Name <br /> <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Date Received <br /> <br />WORK PROPOSED <br /> <br />NEW CONSTR <br />INSTALL <br /> <br />I]LVp <br />I <br />B <br />~ COMM <br />D <br /> <br />ADD/ALT <br />REPAIR <br /> <br />(OBTAINED ~ROPERTY TAX NOTICE) <br /> <br />SIGN ~ MOVE D <br /> <br />DEMOLISH <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />D <br /> <br />B <br />PROPOSED USE D <br />TYPE OF CONSTRUCTION ~ BLOCK <br /> <br />DESCRIPTION OF WORK I /NS,4L.l..- <br />13~#y 7svl <br />It Lf S-() -<o<j ~ <br />I <br />I <br />I <br />D <br /> <br />SFR <br /> <br />FRAME <br /> <br />D <br />D <br />D <br />CJrJ <br />I <br /> <br />OTHER <br />STEEL <br /> <br />I <br />D <br /> <br />OTHER I <br /> <br />BUILDING SIZE <br /> <br />Sf w-J.4('rL: <br />sa FOOTAGE I Lf, OOe) <br />, <br /> <br />I C.-,s ( C/1- <br />HEIGHT I .,3S r <br /> <br />BUILDING <br /> <br />1$ <br />1$ <br />1$ <br />1$ <br />D <br /> <br />I:ItWm <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D <br /> <br />ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />o WREC <br /> <br />D <br /> <br />D <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />OTHER <br />DYES <br /> <br />DNO <br /> <br /> <br />PLUMBING <br /> <br />D <br /> <br />MECHANICAL <br /> <br />VALUATION OF MECrlANICAL INSTALLATION <br /> <br />Address <br /> <br /> <br />COMPANY <br /> <br />IA.4A.tJIJ~,1", SIC~ ~,a/:.VluL <br />1@ N I FEE CURRENT ~ <br />r (':-l- I - . ~ <br />/'" Ct..r'!'Ucense# Iz.s/~Ooc:.;(;o:2.. <br />I ~~~M2 <br /> <br />~ FEE CURRENT ~ <br /> <br />License # I <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />BUILDER <br />SIGNATURE <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />~ FEE CURRENT <br /> <br />~ <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 />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y I N FEE CURRENT <br /> <br />~ <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y I N FEE CURRENT <br /> <br />~ <br /> <br />License # <br /> <br />RESIDENTIAL <br /> <br />, <br /> <br />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 wi Silt Fence installed, <br />Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisionsllarge projects <br />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 requirerr.ents must meet compliance <br />Attach (2) sets of Engineered Plans. <br />....PROPERTy SURVEY required for all NEW construction. <br />- IlItI:". h-_,~ --- <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />fIlII:ftft--- <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 Ale <br />Driveways-Not over Counter if on public roadways..needs ROW <br /> <br />Fences (PloUSurvey/Footage) <br />