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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department 213 <br /> <br />Fax-813-780-0021 <br /> <br />f~ ~3tf <br /> <br /> <br />I <br />I <br />I <br />lvc ~(~..,J( I LOJ!_, lID <br />~~~r~#~ -2(0- 21 -~ ~\-OO.-~ <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />Date Received <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Name <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number L <br /> <br />Owner Phone Number I <br /> <br />Fee Simple Titleholder Address <br /> <br />CI ADD/ALT D <br />D REPAIR <br />D COMM D OTHER I~( ~ t'Y)bd!' I <br />CI FRAME D STEEL D OTHER I <br />DESCRIPTION OF WORK I PCh l ('f) od e \ Se.t -lA-? (P("e,J. HtJYnL on . c+J <br />I '3" 3<i?sQ FOOTAGE I L} q L\ HEIGHT I I <br /> <br />"""".,.""""".",..""""..,.",...""",.,,.!""..""'."."""."""""...,.""'...""""""..."",.""""""""""", <br /> <br />1$ fOlD 00.00 <br /> <br />1$ <br /> <br />1$ <br /> <br />1$ 25-0. M <br /> <br />D GAS D <br />FINISHED FLOOR ELEVATIONS I <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />~ <br />D <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />BUILDING SIZE <br /> <br />D <br />D <br />D <br />D <br /> <br />BUILDING <br /> <br />I <br />I <br />I <br />I <br />D <br />I <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />DEMOLISH <br /> <br />ELECTRICAL <br /> <br />')..DO.(">( <br />/1(;0. l'" <br /> <br />AMP SERVICE <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />W.R.E.C. <br /> <br />PLUMBING <br /> <br />D <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />OTHER <br />DYES <br /> <br />/ ~-il~\d <br />. III CA,""" f . <br />rr .I~ ~. <br />l}J'\P dt rl t; <br />tl~ <br /> <br />MECHANICAL <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />ROOFING <br /> <br />DNO <br /> <br />""""""'1""""""'1".""""'1111111'1111"..,..,1111,......"....,1...'.1,...11111111111111..'.........."11111111."111111111.1111111 <br /> <br /> ~~~~~~ECU~~~ Y/N <br /> License # I <br />COMPANY lC{o.~\ F lech"-'(j <br />REGISTERED FEE CURRENT I Y/N <br /> License # I <br />COMPANY I ~-{fe(p'e1 d jV\l-\S <br />REGISTERED Y I N FEE CURRENT I Y/N <br /> License # I <br />COMPANY I ALe-- <br />REGISTERED I Y IN FEE CURRENT Y/N <br /> License # <br />COMPANY <br />REGISTERED Y/N FEE CURRENT Y/N <br /> License # <br /> <br />BUILDER <br />SIGNATURE <br /> <br /> <br />Address (- <br /> <br />ELECTRICIAN~~~ <br />SIGNATURE ~) <br /> <br />Address <br /> <br /> <br />:~:A~RE !~ ~ <br /> <br />Address <br /> <br /> <br />:,~~~~~:L~~ <br /> <br />Address __ <br /> <br />OTHER I <br />SIGNATURE <br /> <br />Address I <br /> <br />1111111111111111111111111111111111111111111111111111111I111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <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 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 wi 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 />111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I1111111I1I11111111111111111I111111111 <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 AlC Fences (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />