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<br />Date Received <br /> <br /> <br /> <br />Fax-813-780~~j q1 <br /> <br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Owner's Address 51 0 5: \ <br />Fee Simple Titleholder Namel <br /> <br />~'r D,-. <br /> <br />Owner Phone Number '815"7 8 ~ J ) g <br />Owner Phone Number I 'ill J 4 ~ c; ::5 ~2 'J.... <br />Owner Phone Number L <br /> <br />Owner's Name <br /> <br />Fee Simple Titleholder Address <br /> <br />JOB ADDRESS <br /> <br />3~ OS\ <br /> <br />\J~_'- <br /> <br />'Or. <br /> <br />;2''''ph ,(L.:U, ,<< S3H iI <br />PARCEL 10#1 'l?- -lCo- :l\ -OOS" 6- (O~O - CO::O 0 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />LOT # <br /> <br />G <br /> <br />WORK PROPOSED <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />I <br />B <br />o <br />o <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br />FRAME <br /> <br />D <br />D <br />D <br /> <br />DEMOLISH <br /> <br />SUBDIVISION <br /> <br />r=r <br /> <br />PROPOSED USE 0 <br />TYPE OF CONSTRUCTION D <br /> <br />DESCRIPTION OF WORK I VL..t. ~ <br /> <br />BUILDING SIZE I :fSQ FOOTAGE I I SOO HEIGHT I <br /> <br />.--r-n. III I J II I'" II'. I. p. I I . I. I. I. I II. III'. II I'. I." I 1'1'.. 1'1'1. III'. III. I.., I I 1'111. I'll'" I".. I.,., II'.. II., II 1111 p., III.. II. I. '_I' I 1'1. 11'1" III. <br /> <br />OTHER <br />STEEL <br /> <br />I <br />o <br /> <br />OTHER I <br /> <br />0 BUILDING 1$ S~\O. 00 I VALUATION OF TOTAL CONSTRUCTION <br />0 ELECTRICAL 1$ I AMP SERVICE 0 PROGRESS ENERGY D W.R.E.C. <br />0 PLUMBING 1$ I <br />0 MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION <br />D GAS ~ ROOFING D SPECIALTY 0 OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES [:JNO <br /> <br />11"11"111'1111'1'11111111111'111'1"11111"'111111'11111111'111111111111'111111'11'1111'111'11"1"111""11111"111111"11'1111"1111111'1'1"1 <br /> <br />COMPANY <br />REGISTERED <br /> <br />BUILDER <br />SIGNATURE <br /> <br />Y I N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> License # <br />YI N FEE CURRENT <br /> License # <br /> <br />Y/N <br /> <br />Address <br /> <br />ELECTRICIAN <br />SIGNATURE <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 />COMPANY <br />REGISTERED <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />Y/N <br /> <br />Address <br /> <br /> <br /> <br />License # <br /> <br />OTHER <br />SIGNATURE <br /> <br />Address <br /> <br />RESIDENTIAL Attach (2) Plot Plans; (2) sets of Buil Ing Plans; (1) set of Energy Forms; R-Q-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 subdlvlslons/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 onslte, Construction Plans, Stormwater Plans wI 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 /> <br />11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <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 NC Fences (PloVSurvey/Foolage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />