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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />t-aX-l:l1 ;j-f/jU-UU:'!l <br /> <br />Date Received \ _ ~ - 0 <br /> <br />OWner's Name II'! (. A /1 e I ' <br />Owner'sAddress 1,51..'::);0 /'/ -r~ 'sric. r::;-ET \ <br />Fee Simple Titleholder Namel <br /> <br /> <br />OWner Phone Number <br /> <br />Owner Phone Number I <br /> <br />OWner phone Number I <br /> <br />JOB ADDRESS <br /> <br />Fee Simple Titleholder Address <br /> <br />I <br />I <br /> <br />I <br />~e <br /> <br />lOT # <br /> <br />I <br /> <br />B <br />o <br />o <br />DESCRIPTION OF WORK I ( ) IJC? i21CJvi /l.A27 E'L..e1' I~/L,:} L SP.2v / L of:? 7<0 SJco <br />BUILDING SIZE I ISQ FOOT AGE I I HEIGHT I I <br />D"" '~~,~~:~~"""" 'I~""""""""""""'" i..... ~~~;~;~~ ~~. ~~~~ ;::~~~~~:...........,....."'......."............ <br /> <br />~'ELECTRICAL 1$ I AMP SERVICE ~- PROGRESS ENERGY D W.R.E.C, <br /> <br />D PLUMBING 1$ I <br />D MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION <br /> <br />D GAS 0 ROOFING 0 SPECIALTY 0 OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />'III...IIIP'..'.II.."',...."II"'..."'II"'..'...II"",','I"f"I'III"'II"""I""'I,,'I"""IIIIIII,,""""1""1'1"'11"'11""'111111 <br /> <br />:::1~~RE -Its~ 7 ~~:~':: 11f;;;".: P":e~' Y IN I <br /> <br /> <br />Address [ License # I <br /> <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />PARCEL ID#I <br /> <br />lI-~(o- d-.\ - 60\0- ''1'100 - 0050 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE 0 DEMOLISH <br /> <br />SUBDIVISION <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />E3 <br />o <br />o <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />ADD/Al T <br />REPAIR <br />COMM <br />FRAME <br /> <br />o <br />o <br />o <br /> <br />OTHER I <br />STEEL D <br /> <br />WORK PROPOSED <br /> <br />OTHER I <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/ N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />license # <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />I YI N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />111111111111111 1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <br />RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permil for new construction, <br />Minimum ten (10) working days after submittal date. Required onsile, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br />Sanitary Facilities & 1 dumpster; Site Work Permit for subdivislonsllarge 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 onsile, 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 NEW construction. <br /> <br />1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111II111 i 1111111111111111111 i II <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 Fences (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />