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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit AppliCatiOn <br />Building Department <br /> <br />I QA-V.I...r, "","" ":'''''_. <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Namel <br /> <br /> <br />Date Received <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Fee Simple Titleholder Address I ~ /i <br />JOB ADDRESS ..f!371JO j3~i3~ 3~ Illi.>Srt j}/- <br />~ / <br /> <br />IOV.{)fVt}# !J/V55o,tl flI1VLY1 I <br />/ <br /> <br />LOT # <br /> <br />WORK PROPOSED <br /> <br />ADD/AL T <br />REPAIR <br />COMM <br />FRAME <br /> <br />PARCEL ID#I/5'''' Rb .....0 l?o~c?Pt7Oc')_.c:lO ;fo <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />OTHER 11/0 J\ e. R 00 ~ <br />STEEL D OTHER I <br /> <br />SUBDIVISION <br /> <br />E3 <br /> <br />PROPOSED USE D <br />TYPE OF CONSTRUCTION D <br /> <br />DESCRIPTION. OF WORK Lf e. ~ 0 ~ ;:. <br /> <br />I * I SQ FOOTAGE I S.J'tJO <br /> <br />'1'1'1111'111"""1111'1","""1""'11111""'1'".,..11...'......111'11,.....11'.11...11.'........111'1...1111,111111...,....1.,1...111111111 <br /> <br /> <br />~ BUILDING :>"~ ;Z ~ b ..e-<> <br /> <br />L-J ELECTRICAL . <br /> <br />o PLUMBING 1$ <br />D MECHANICAL 1$ <br /> <br />D GAS .ro <br />FINISHED FLOOR ELEVATIONS I <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />~ <br />D <br />D <br /> <br />D <br />Ia. <br />D <br /> <br />DEMOLISH <br /> <br />HEIGHT I <br /> <br />c;:r <br /> <br />BUILDING SIZE <br /> <br />ROOFING <br /> <br />: <br />I <br />I <br />D <br />I <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C, <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />vJO~ V <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />OTHER <br />DYES <br /> <br />[=:]NO <br /> <br />",lllt'tl"IIIIIII""IIII",IIII",,',IIIIIIIIIIIIII""111""111"",,,,"""111'111"11'1""'1111111',1111,I"llt"IIII,IIIIIIII'I,IIIII,,1 <br /> <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />BUILDER <br />SIGNATURE <br /> <br />Address <br /> <br />ELECTRICIAN I <br />SIGNATURE , <br /> <br />Address I <br /> <br />PLUMBER ,I <br />SIGNATURE . <br /> <br />I <br /> <br />Address <br /> <br />MECHANICAL I <br />SIGNATURE <br /> <br />OTHER <br />SIGNATURE <br /> <br /> <br />RESIDENTIAL Attach (2) Plot Plans; (2) sets ot Building Plans; (1) set ot Energy Forms; R-O-W Permit tor new construction, <br />Minimum ten (10) working days after submittal date. Required onslte, Construction Plans, Stormwater Plans w/ Sill Fence installed, <br />Sanitary Facilities & 1 dumpster; Site Work Permit tor subdivisions/large projects <br />COMMERCIAL Attach (3) sets ot Building Plans; (1) set ot Energy Forms. R-O-W Permit tor 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 ot Engineered Plans. <br />....PROPERTY SURVEY required tor all NEW construction. <br />1111111111I11111111111111111111111111111111111111I1111/1111111111111111111111111111111111111111111111111111 /11111111111111111111111111111111111111 <br />Directions: <br />Fill out application completely. <br />Owner & Contractor sign back ot 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 />