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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 />C-, f-y <br />Owner's Address I 35/ ~'2- .... f'? <br />Fee Simple Titleholder Namel 11I/11 <br /> <br />Owner's Name <br /> <br />S" ~ tV. <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />I <br />I <br />I <br />I ;/..&- if I <br />I <br /> <br />Fee Simple Titleholder Address I ,IV' /It? <br />I 3 7 6t> I <br />I ~YIA-~J <br /> <br />JOB ADDRESS <br /> <br />2 t-tJhr,/ f.,:( (~f F) LOT # <br /> <br />I PARCELlD#1 3'/ - d-~ - a I -0/70 -Ot)Ot'JCl -7..'& t..JO <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />D ADD/ALT D SIGN 0 MOVE D <br />D REPAIR <br />D COMM D <br />D FRAME D <br /> <br />ffi <br /> <br />PROPOSED USE ' ~ <br />TYPE OF CONSTRUCTION D <br /> <br />DESCRIPTION OF WORK I Jl"v(d,r cloP /-h-uf' <' E 7 - CI,p <br />I I /~ I /'aI6 'I <br />BUILDING SIZE 3 A "f.60 SQ FOOTAGE / 20 HEIGHT L <br /> <br />"....11...11...'.....111..11.'11....11...11.......11.11.....11..........11..11.....11........111.........11.1111...11111..........11......1111... <br /> <br />SUBDIVISION <br /> <br />&//1 ~U& <br />/!oi/c"ZCJrl <; <br /> <br />WORK PROPOSED <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />DEMOLISH <br /> <br />OTHER <br />STEEL <br /> <br />I <br />o <br /> <br />OTHER I flII(>hl/~ /-:bINle... <br /> <br />ill' BUILDING 1$ 'ISo 0 , CD I VALUATION OF TOTAL CONSTRUCTION <br />0' ELECTRICAL 1$ o .5 DO J 0 c) I AMP SERVICE 'J.-D 0 [3' PROGRESS ENERGY D W.R.E.C. <br /> r-l b C" ( ho. ~i~~~ r;b...-d <br />B PLUMBING 1$ ~DO, 00 I <br />B MECHANICAL 1$ If CJOO , 00 I VALUATION OF MECHANICAL INSTALLATION ~ 1); I L, ~ (lO bV'f- <br /> ~-z.,o.~~ <br />D GAS D ROOFING D SPECIALTY D OTHER $le( lR c(.. <br />FINISHED FLOOR ELEVATIONS 36'/ FLOOD ZONE AREA DYES [2jNo <br />BUILDER <br />SIGNATURE <br /> <br /> <br />ELECTRICIAN <br />SIGfiATURE <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />MECHANIC <br />SIGNATURE <br /> <br />OTHER <br />SIGNATURE <br /> <br /> <br />License # <br /> <br /> <br />/ ~ " fA..Ie 'j.. 'c 1/1," <br />FEE CURRENT <br /> <br />License # <br /> <br />License # <br /> <br />c#o 18-9/'7 <br /> <br />Y/ N <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />License # <br /> <br />RESIDENTIAL Attach ( ) 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 Pennit for subdivisions/large projects <br />COMMERCIAL Attach (3) sets of Building Plans; (1) set of Energy Forms. R-O-W Pennit for new construction. <br />Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stonnwater 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 />II11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I111111111111 <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 />'. <br /> <br />i,.~.'~';~J;:, , <br />.,t<i\~\ . <br />"~~:~l,~t:~l :' <br /> <br />~II'" <br /> <br />.; <br /> <br />~. ,",;' <br />