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<br />jl13-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Namel <br /> <br /> <br />(- <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Date Received <br /> <br />Owner's Name <br /> <br />Fee Simple Titleholder Address I <br /> <br />L/Y,/) <br /> <br />/77^ <br /> <br />57: <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />I <br /> <br />r:=J ADD/AL T D <br />D REPAIR <br />D COMM D <br />D FRAME D <br /> <br />C;{A/\J t:- tJv 1- :? ~/l <br /> <br />SQ FOOTAGE I I <br /> <br />PARCEL ID#I <br /> <br />I LOT# I <br /> <br />/ ~ - l-G - 7-1 ~ 0010 - ()J.,oo~<:::>oJ'd <br />(OST AINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />...................11....11.......................11........111......................1111......11.........11......11111111........................ <br /> <br />B <br />D <br />D <br />I 4~/' f <br />, I <br /> <br />DEMOLISH <br /> <br />WORK PROPOSED <br /> <br />BUILDING SIZE <br /> <br />OTHER I <br />STEEL D <br /> <br />J4~t;cJV~~ <br /> <br />HEI:HT I <br /> <br />DESCRIPTION OF WORK <br /> <br />D <br />D <br />D PLUMBING <br />~ MECHANICAL <br /> <br />1$ <br /> <br />1$ <br /> <br />1$ <br /> <br />1$ '7,5- ~b . <br />D GAS D <br />FINISHED FLOOR ELEVATIONS I <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />BUILDING <br /> <br />ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />c===J VV.R.E.C, <br /> <br />ROOFING <br /> <br />D <br />I <br /> <br />SPECIALTY D OTHER <br /> <br />FLOOD ZONE AREA DYES <br /> <br /> <br />~If~ <br />~ <br /> <br />e:::c- <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />111'1'1111""1""'1.",""""'111"1'1""'111'111"'11,11111'1""'11111111""11"111""'1'1"111"",llllr"""I"11111111"'II,III"'1111 <br /> <br />COMPANY <br />REGISTERED <br /> <br />BUILDER <br />SIGNATURE <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />Y / N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />Y/ N <br /> <br />FEE CURRENT <br /> <br />License # I <br /> <br />{r {o~.1. <br />FEE CURRENT <br /> <br />License # I CAe () "'1 '/ :r C) <br /> <br />Y/N <br /> <br />Address <br /> <br />Address <br /> <br /> <br /> <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />OTHER <br />SIGNATURE <br /> <br />~ <br />I <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT Y / N <br /> <br />Address <br /> <br />License # <br /> <br />11111111111111111111111111111111111111111111111111111111111111111111111111111111I11111111111111111111111111111111111111111111111111111111111111111 <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 subdivisions/large projects <br />COMMERCIAL Attach (3) 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/ Slit 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 NEVV construction. <br />1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111II11111111 <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 NC Fences (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />