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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 />Owner's Name <br /> <br />Owner's Address I S~~ \ <br />Fee Simple Titleholder Namel <br /> <br /> <br />Fee Simple Titleholder Address I <br /> <br />Y\.~G+. <br /> <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number 1<2:513 <br />Owner Phone Number I <br /> <br />Date Received <br /> <br /> <br />I <br /> <br />LOTi <br /> <br />I <br />I <br />I <br />I~-~ I <br />I <br /> <br />Z~rkLls,x\ 1 <br /> <br />S-G~ \'l\\... <.'\\-. ,Z-<:(>k'1 rG::Lls "\{ 33Si-t ~ <br /> <br />I PARCEL 10#1 \ \ - l(o~ }J,\- <00\0 ~ \ \ jM)<D - ~ 0 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />D NEW CONSTR El ADD/ALT D SIGN D MOVE D <br />D INSTALL REPAIR <br />PROPOSED USE 0 SFR c=J COMM D <br />TYPE OF CONSTRUCTION D BLOCK D FRAME 0 <br /> <br />DESCRIPTIDNOFWORK I ~ \<"'''pH ) ,Q,\u ~ <br /> <br />BUILDING SIZE I ~Q FOOTAGJ. tx:) HEIGHT I <br /> <br />,1111'lftt,..'.,...'.',.'.'I."_...._"'-"-I-"."'...'1111"'11111111".'11111...'11111'1.""1111'1111'...11..III'lllt.I'.IIIII..,I..III"'11111 <br /> <br />U118:. CO I <br />1$ I <br />1$ I <br />1$ ~ <br /> <br />D GAS [)i3 ROOFING D SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />1"'1"111111111'1111111111111111111'.1'1"1'111"'1""11"""11111111111111111".'1111'11""'1'111111111illll"IIIIIIIIIIII"""IIIIIII"II" <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />DEMOLISH <br /> <br />OTHER <br />STEEL <br /> <br />I <br />D <br /> <br />OTHER I <br /> <br />D <br /> <br />BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENE/-~. - W.R.E.C. <br />//~ I <br />~Jf} I <br /> <br /> <br /> <br />D <br />D <br /> <br />D <br /> <br />PLUMBING <br /> <br />MECHANICAL <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />BUILDER <br />SIGNATURE <br /> <br />Y / N FEE CURRENT <br /> License # <br />Y/ N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> License # <br />Y I N FEE CURRENT <br /> <br />Address <br /> <br />ELECTRICIAN I <br />SIGNATURE . <br /> <br />Address I <br /> <br />PLUMBER I <br />SIGNATURE <br /> <br />Address I <br /> <br />MECHANICAL I <br />SIGNATURE . <br /> <br />Address I <br /> <br /> <br />OTHER ~~ <br />SIGNATURE <br />Add~.. ..) > a,' ~s~ <br /> <br />11111111111111I11111111111111111111111111111111111111111111111111111111111111111111111111111I1111I1111111111111111111111111111111111111111111I11II <br />RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construcllon, <br />Minimum ten (10) working days after submittal date. Required onslte. Construction Plans, Stormwater Plans wI Slit Fence Installed. <br />Sanitary Facllllles & 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 onslte, Construction Plans, Stormwater Plans wI 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 NEW construction. <br />111111111111111111 1 1I11II111111111I 1 I11I111111 1 111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <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 (PloVSurvey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />