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<br />Date Received <br /> <br /> <br />7 h()Pl fi.r <br />I .J s/~ <br /> <br />-0 <br />IJ qJ' b i P.../l <br />At[ /,La.. /JL/Lr'/~ <br /> <br /> <br />Fax-813-780-0021 <br />PASCO PERMIT SERVICE <br />813-788-5314 <br /> <br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Namel <br /> <br />tu, <br /> <br />Owner Phone Numbe <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Owner's Name <br /> <br />Fee Simple Titleholder Address <br /> <br />SUBDIVISION <br /> <br />I -3 S/(P At[ /[ ~1Y1 ~r/N <br /> <br />I Tk ~Iu~tr/ POI;;' ffl <br />R..e...( 0 r ?- <br />m NEW CONSTR c=l <br />D INSTALL D <br />PROPOSED USE D SFR D <br />TYPE OF CONSTRUCTION D BLOCK D <br /> <br />DESCRIPTION OF WORK I U /-bl'd..qe J200m <br />- <br /> <br />BUILDING SIZE I / rJ-1 X J/ I I SQ FOOTAGE I ,;1J~r HEIGHT I <br /> <br />.11....11...'.11...111..11..111.....'..11.11...11.........11..1111..111......111....1...111....111...11...11..11....1111111....................... <br /> <br />JOB ADDRESS <br /> <br />tu~ <br /> <br />PARCEL ID#I <br /> <br />LOT # <br /> <br />/'/ <br /> <br />~y -~ -t>Ll- ()()rJ() - OQOctJ - tJ JlIO <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br />FRAME <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />DEMOLISH <br /> <br />WORK PROPOSED <br /> <br />D <br />D <br />D <br /> <br />OTHER I <br />STEEL D <br /> <br />OTHER I <br /> <br />rno BUILDING :'$ <br />ELECTRICAL . <br />o PLUMBING 1$ I <br />D MECHANICAL 1$ I <br /> <br />D GAS D ROOFING D SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />III" I'l"""'" '1111 i"" 111111"""""""'" 111111"...' 1111"" il! 'I.~'~'" II"""" '1111" I"" 'II" I"" 11'11""'" 1111""""" <br /> <br />:~~~RE ~~ I R~::'~I~ 1~~~N-rAc:~RENT~~~~111 <br /> <br /> <br />Address _ _ License # <br /> <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />~, J(X). 00 <br /> <br />r V&U.ATION. O,=}OTAL CONSTRUCTION <br />.y~ ~bi~ <br />un" i ? ,. <br />II J , Ii. ~ SERVICE D PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C, <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />COMPANY <br />REGISTERED <br /> <br />ELECTRICIAN <br />SIGNATURE <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 />COMPANY <br />REGISTERED <br /> <br />MECHANICAL <br />SIGNATURE <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 />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />111111111111111 1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I11111111111111111111111I11 <br />RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fonns; 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 Penn It for subdivisions/large projects <br />COMMERCIAL Attach (3) sets of Building Plans; (1) set of Energy Fonns. R-O-W Pennit for new construction. <br />Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stonnwater 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 />1111111111111111111111111111111111111111111111111111111111111111111111111111111111111I11111111111111111111111111111111I11111111111111111I111111111 <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. (A1C 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 />