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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />. '" <br />Date Received <br /> <br /> <br />II - (p - () ~ <br />w' 7 Il-,'f )..& <br />1%-f1 8 T, <br /> <br /> <br />Fax-813-780-0021 <br /> <br />~~V~ <br /> <br />./ <br />Owner's Name r1{ IV ~ <br /> <br />Owner's Address Ilf 9 J.j <-J <br />Fee Simple Titleholder Namel <br /> <br />:3 t? JVI l!!- <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I S- /;, ',~ f Y <br />Owner Phone Number 18/ 5 - &C) 9 - l{ 04 / <br /> <br />Fee Simple Titleholder Address <br /> <br />JOB ADDRESS <br /> <br />'790/.::.-/ <br /> <br />! <zt t, &T <br /> <br />2 ~f h j V' \" ll~ <br />I PARCELlD# I <br />B <br />D <br />D <br /> <br />rL, <br /> <br />33 ~l[ "'2- <br /> <br />LOT # <br /> <br />SUBDIVISION <br /> <br />(OBTAINED FROM PROPERTY TAX NOnCE) <br />SIGN D MOVE D <br /> <br />DEMOLISH <br /> <br />WORK PROPOSED <br /> <br />B <br />D <br />D <br />I <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />f2~~hu~ <br />I <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br />FRAME <br /> <br />D <br />D <br />D <br /> <br />, <br />OTHER I 1<oo-f : Uv Cf <br />STEEL D OTHER I <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />DESCRIPTION OF WORK <br /> <br />I HEIGHT I I <br /> <br /> <br />II . . . . , II1I I , 111 , . . I , II111 , III . . , , , " II I r , II . I , . , 111111 . I . 1111' . , III . I IIIII , r I , IIIIII . . I I , r I , , .. . , III . r rill' I I , I " 111111 r" r II' . IIIII . I . III fll . , I , <br /> <br /> <br />o BUILDING 1$ J,..c-......,O , or-L--I <br />. _ C--/ (./ ~. VALUATION OF TOTAL CONSTRUCTION <br /> <br /> <br /> <br />o ELECTRICAL 1$ I AMP SERVICE D PROGRESS ENERGY <br />o PLUMBING 1$ I <br /> <br />o MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION <br /> <br />D GAS 00 ROOFING D SPECIAL TV D OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <br /> <br />::::~~ t ~ """,-G~ I ~~~:= ~t#ie~~;,'.~", V/N <br /> <br /> <br />License # I <br /> <br />SQ FOOTAGE I <br /> <br />BUILDING SIZE <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />Address <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />YI 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 />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 License # <br />11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <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 onslte, Construction Plans, Stormwater Plans wi Slit 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 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 /> <br />...1111111111.....11,1111....1111......11111111....'"11...................1111.........11.....1111.11111...............11....1.1111111.11111..111 <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 />