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<br />813.780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-7l:l0-00:l1 <br /> <br />Date Received <br /> <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number L <br /> <br />Owner's Name J lAd n. M ~ t' 0 u...- <br />Owner's Address I &;;t t* 6 \ lver Dak.s 1),,< <br />Fee Simple Titleholder NamJ <br /> <br />JOB ADDRESS <br /> <br />Fee Simple Titleholder Address I <br />I Cz ~ [t.f Silver Oaks Dr.., Zephyrhl (/~J FL <br />Is ilver DMs <br /> <br />WORK PROPOSED <br /> <br />I <br /> <br />o NEW CONSTR c=J ADD/AL T 181 <br />D INSTALL c=J REPAIR <br />PROPOSED USE ~ SFR D COMM D <br />TYPE OF CONSTRUCTION 0 BLOCK D FRAME D <br /> <br />DESCRIPTION OF WORK I ~CX'e.e.vL ROOM c:l- CDY\cret~. <br /> <br />I f 5 I Y '-.I 3 ' I ,- d r::::- <br />BUILDING SIZE ^ . SQ FOOTAGE ~... J . <br /> <br />LOT # <br /> <br />PARCEL 10# I D 3 - a&>- Ot 1- 0 l ~A-- DCXX:V - ot 00 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />335L!.2 <br /> <br />SUBDIVISION <br /> <br />DEMOLISH <br /> <br />OTHER <br />STEEL <br /> <br />I <br />D <br /> <br />OTHER I A-L-VMWlJf\-l <br /> <br />sla.-b <br /> <br />HEIGHT <br /> <br />1.1.111..11..11...11..11.........11111.....111...1111..11.111.,..................,...11...111111.11111...........11....11.....1111......1111111.11 <br /> <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />[gJ BUILDING <br />~ ELECTRICAL <br />o PLUMBING 1$ <br /> <br />o MECHANICAL 1$ <br /> <br />o GAS 0 <br />FINISHED FLOOR ELEVATIONS I <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />ROOFING <br /> <br />I <br />1 <br />D <br />I <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY D <br /> <br />FLOOD ZONE AREA <br /> <br />OTHER <br />DYES <br /> <br />DNO <br /> <br />BUILDER ,.- / <br />SIGNATURE ~e~ <br />Address It> I 6 LJ. f -1 . K In. <br /> <br /> <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> License # <br /> <br />Y/N <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br />111111111111111 111111111111111111111111111111111111'111111'111"1111'"1"'11111111""""111111111111111111111111111111111111111111111'1111"11 <br />RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms <br />Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster <br />COMMERCIAL Attach (3) sets of Building Plans; (1) set of Energy Forms. <br />Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster <br />All commercial requirements must meet compliance. <br />SIGN PERMIT Attach (2) sets of Engineered Plans. <br />"'-PROPERTY SURVEY required for all NEW construction. <br />11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111,'1,11111111111111111'11111111.11111111111111111111111 <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. (Ale 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 <br /> <br />Fences (PloUSurvey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />