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<br />, I <br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br />Owner's Name <br /> <br /> <br />It- ()o - ofp <br /><col e (Of'I( c.d\ <br />5~3d-. St\1 'Stree <br /> <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Date Received <br /> <br />Owner's Address <br /> <br />Fee Simple Titlehold.r Namel tAn K 0 t A (Y1 d, ffi <br /> <br />Fee Simple Titlehold r Address I <br /> <br />~ 51.3~ <br />I <br /> <br />PROPOSED USE <br />TYPE OF CONSTRU <br /> <br />SFR <br />BLOCK <br /> <br />'11" 5\10..1-, 7.;>\*'11'111\\<' I LOU 113 + III <br />I PARCELlD#\ n-~b-~ ~-OOID- l3~ -0130 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />o SIGN 0 MOVE 0 <br /> <br />o <br />o <br />, <br /> <br />DEMOLISH <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />BUILDING SIZE <br /> <br /> <br />NEW CONSTR <br />INSTALL <br /> <br />WORK PROPOSED <br /> <br />e. <br /> <br />DESCRIPTION OF <br /> <br />0 BUILDING Li (fl) I VALUATION OF TOTAL CONSTRUCTION <br />0 1$ I AMP SERVICE 0 PROGRESS ENERGY D W.R.E.C. <br />0 1$ I <br />0 1$ I VALUATION OF MECHANICAL INSTALLATION <br />0 GAS 0 ROOFING 0 SPECIALTY 0 OTHER <br />FINISHED FLOOR I FLOOD ZONE AREA DYES DNO <br /> <br />BUILDER <br />SIGNATURE YI N FEE CURRENT <br />Address License # <br />ELECTRICIAN <br />SIGNATURE Y/N FEE CURRENT <br />Address License # <br />PLUMBER <br />SIGNATURE Y/N FEE CURRENT <br />Address License # <br />MECHANICAL <br />SIGNATURE Y/N FEE CURRENT <br />Address LIcense # <br />OTHER Owner- <br />SIGNATURE I Y/N I . FEE CURRENT <br />Address License # <br /> <br /> <br />Y/N <br /> <br />Y/N <br /> <br />Y/N <br /> <br />Y/N <br /> <br /> <br /> <br />Y/N <br /> <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 wi Silt Fence installed, <br />Sanitary Facilities & 1 dumpster; Site Work Permit for subdivislonsllarge 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 />11111111111111111111111111I111111111111111111111111111111111111111111111111111111111111111111111111111111111111III11111I11111111111111I11II11111I11 <br />Directions: I <br />Fill out appli tion completely. <br />Owner & Con actor 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 COUN ER PERMITTING (Front of Application Only) <br />Reroofs Sewers Service Upgrades NC Fences (Plot/Survey/Footage) <br /> <br /> <br />Driveways-N t over Counter if on public roadways..needs ROW <br />