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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit AppliCatiOn <br />Building Department <br /> <br />I CI^-U 1""-' \.IV VV'" I <br /> <br />Date Received <br /> <br /> <br />Owner's Name Jo y <br /> <br />Owner's Address !5Q,S'8 <br />Fee Simple Titleholder Namel <br /> <br /> <br />~ n:z.1 b c.P-~ sin <br />/ /,./11 Sf; ~,/{ ~3:35'1t <br />samC- <br />I <br /> <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br /> <br />SUBDIVISION <br /> <br />PARCEL 10#1 <br /> <br />3~5ZfZ LOT # II? <br />1/- :2.(:; -;2 /- jtJ I () - () 7'~-LJ/~ <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />o SIGN 0 MOVE 0 DEMOLISH <br /> <br />o <br />o <br /> <br />JOB ADDRESS <br /> <br />D <br />D <br /> <br />~ <br /> <br />PROPOSED USE 0 <br />TYPE OF CONSTRUCTION 0 <br /> <br />DESCRIPTION OF WORK I Re.- - rw <br /> <br />BUILDING SIZE I r:Ji,' )( 3ft, I / /JI*ol'SQ FOOTAGE I /,;)..tJ'I P HEIGHT I <br /> <br />,......"I,..".,I.,..,'....,I.....'..,I....'f'..,'.....,1,...,11111111,.,...".."...,11,.....,.,1111,..,11........'.,.".....111.".,11,.".,111 <br /> <br />1$ f 000. (jJ <br />1$ <br />1$ <br />1$ <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />~ <br />o <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br />FRAME <br /> <br />OTHER <br />STEEL <br /> <br />I <br />o <br /> <br />OTHER I <br /> <br />WORK PROPOSED <br /> <br />qJ <br /> <br />ELECTRICAL <br /> <br />:U:::C~ TOTAL C;ZCTI::OGRESS ENERGV <br /> <br />W.R.E.C. <br /> <br />BUILDING <br /> <br />D <br /> <br /> <br /> <br /> <br />~~ n'~ <br />FINISHED FLOOR ELEVATIONS I I FLOODZONEAREA DVES ~O ~~ <br /> <br /> <br />~~~~;~~ " "~.. " " .", " , " " ". " " '" .. ! , "'~"~~~" ~" " ' ",." ' " , ":~;~;T' ;;/~i" ~~~:~', <br /> <br />PLUMBING <br /> <br />MECHANICAL <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />Address <br /> <br /> <br /> <br /> <br />ELECTRICIAN <br />SIG~A TURE <br /> <br />COMPANY <br />REGISTERED <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 />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 />COMPANY <br />REGISTERED <br /> <br />OTHER <br />SIGNATURE <br /> <br />Y/N <br /> <br />Address <br /> <br />1111111111111111111111111111111111111111I111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <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 subdivisions/large projects <br />COMMERCIAL Attach (3) sets of Building Plans; (1) set of Energy Forms. R-O-W Permit for new construct/on. <br />Minimum ten (10) working days after submittal date. Required onsite, 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 of Engineered Plans. <br />....PROPERTY SURVEY required for all NEW construction. <br />11111111111111111111111111111111111111111I111111111111111111111111111111111111111111111111111111111111111111111111111111111 i 1111111111111111111111 <br />Directions: <br />Fill out application completely. <br />Owner & Contraclor 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 <br /> <br />Fences (PloUSurvey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />