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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 />Date Received <br /> <br /> <br />~ <br /> <br /> <br />Owner's Name V 12 ICE .f) W OIL Owner Phone Number <br /> <br />Owner's Address I J 3' 7'1/ ClJutJ77 RiJ 5<; E. Z - ff/l(S Owner Phone Number I <br />I Lo T 20 I <br />Fee Simple Titleholder Name Owner Phone Number <br /> <br />JOB ADDRESS <br /> <br />Fee Simple Titleholder Address I <br /> <br />13'81<;-/ COUNTY R.D. 5l.f E. <br />b['E~PY hbC-LO~ /2-, v.1 <br /> <br />LOT # <br /> <br />I ~O <br /> <br />SUBDIVISION <br /> <br />PARCEL ID#I <br /> <br />DESCRIPTION OF WORK <br /> <br />B <br />D <br />D <br />I <br /> <br />B <br />D <br />D <br />At. U /V1.f AJ () Il1 ,j( ()[) F=- <br /> <br />SQ FOOTAGE I <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />ADD/AL T <br />REPAIR <br />COMM <br />FRAME <br /> <br />02.-2-b-2/~O{)I-O-0!7t?;)cc _ 003 ~ <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />DEMOLISH <br /> <br />D <br />D <br />D <br />~ l! elC <br />I <br /> <br />OTHER <br />STEEL <br /> <br />I <br />D <br /> <br />WORK PROPOSED <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />OTHER I <br /> <br />BUILDING SIZE <br /> <br />HEIGHT <br /> <br />'.111...111...1111..11..11..111...11....1111...11.......,.....11...111..........11111.11.............11.11......11.11111......1111111.......11'11. <br /> <br />D BUILDING 1$ <br /> <br /> <br />D ELECTRICAL 1$ <br /> <br /> <br />D PLUMBING 1$ <br /> <br /> <br />D MECHANICAL 1$ <br /> <br /> <br />D GAS D <br />FINISHED FLOOR ELEVATIONS I <br /> <br />I <br />I <br />I <br />I <br />D <br />I <br /> <br />III" I'" II'" r I""", I"'" I"" 1'1" I" 1.1 1.1,... 1.1., I" II 1111.. :':{:II 1'1"" 11'1" II.... 111'11" III" 1.1 1.1 I" 111.1 t' III" II" IIII III 1'1'1111 <br /> <br />ColJ j 'J <br />COMPANY <br />REGISTERED <br /> <br />/8ex:), ~ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C, <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />ROOFING <br /> <br />SPECIAL TV D <br />FLOOD ZONE AREA <br /> <br />OTHER <br />DYES <br /> <br />DNO <br /> <br />BUILDER <br />SIGNATURE <br /> <br />~~/~. <br /> <br /> <br />Address <br /> <br /> License # <br />Y/N FEE CURRENT <br /> License # <br />Y / N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> License # <br />Y / N FEE CURRENT <br /> License # <br /> <br />ELECTRICIAN <br />SIG~ATURE <br /> <br />COMPANY <br />REGISTERED <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 <br /> <br />1111I1111I11111 111I11111111111111I1111111111111111111111111111111111111I1111111111111111111111111111111111111111111111111111II1111111111111111111 <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 onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br />Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisionsnarge 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 w/ 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 />1111111111111111111111111111111111111111111111111111111I1111111111111111111111111111111111111111111111111111I111111111111111111111111I11I111111111 <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. (Ale 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 />