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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br /> <br /> <br />Date Received . L. - f 3 r 0 <br />Owner's Name ()eA.-II if I'a nler fI. ,-I lOR. <br />Owner's Address I g13 I Cr-anhrooke 5t. 33SlfJ...- <br />Fee Simple Titleholder Namel <br /> <br />Owner Phone Number 8/ - 1 <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Fee Simple Titleholder Address I <br /> <br />1~1BI CrtLnb({)oke .sf- <br />lIre e La,nt: V i I ttije. <br /> <br />JOB ADDRESS <br /> <br />I <br /> <br />rn NEW CONSTR D <br />D INSTALL D <br />PROPOSED USE EJ SFR D <br />TYPE OF CONSTRUCTION D BLOCK [I] <br /> <br />DESCRIPTION OF WORK l:5h evf -t A try he-. R.oo YY1 <br /> <br />BUILDING SIZE I Y' X ,]61. ~' ISQFOOTAGEI /q<l t:p HEIGHT I <br /> <br />1111..111.111............,.,..'.11.111..........,..'....'.111..11.....'..............11111'.1111.11...111...111....'...........II..III.III.II.p... <br /> <br />ctn BUILDING 1$ a, 000, Q!L <br />I <br />D ELECTRICAL 1$ <br /> <br />D PLUMBING 1$ <br /> <br />D MECHANICAL 1$ <br /> <br />D GAS D <br />FINISHED FLOOR ELEVATIONS I <br /> <br />Address 15131 Uttn broof.:e- .:5t. Lo +- 33~LfL- I License # <br />ELECTR~N ~ It-Jw i -.4-f4-/- ~5ri~PANY <br />SIG~~ REGISTERED Y/N FEE CURRENT <br />Ad ess LIcense # <br />PLUIIBE"l\; j ~ ~1tv0 - Aj<?-A)- 5S,,"~" <br />I COMPANY Y/N FEE CURRENT <br />SIGNA~ REGISTERED <br /> I <br />Address LIcense # <br />MECHANICAL COMPANY <br />SIGNATURE REGISTERED Y/N FEE CURRENT <br />Address LIcense # <br />OTHER COMPANY <br />SIGNATURE REGISTERED YI N FEE CURRENT <br />Address LIcense # <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />I <br />I <br />I <br />I <br />D <br />I <br /> <br />ROOFING <br /> <br />BUILDER <br />SIGNATURE <br /> <br />~gp~ <br /> <br />LOT # I <br /> <br />PARCEL 10#1 <br /> <br />/~-d.(O -;1. /-OO~O - 00/00 -0000 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br />FRAME <br /> <br />D <br />D <br />D <br /> <br />OTHER I Q/1/ I>t 1/1 uP <br /> <br />DEMOLISH <br /> <br />I <br />m <br /> <br />OTHER <br />STEEL <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br />1~~RV-:;: D PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />~c& <br /> <br />SPECIALTY D <br /> <br />FLOOD ZONE AREA <br /> <br />OTHER <br />DYES <br /> <br />DNO <br /> <br /> <br />Y/N <br /> <br /> <br />Y/N <br /> <br />Y/N <br /> <br />Y/N <br /> <br />111111111111111 111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I111111111111111 <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 onslte, Construction Plans, Stormwater Plans wI Slit Fence installed, <br />Sanitary Facilities & 1 dumpster; Site Work Permit for subdivlsions/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 onsite, Construction Plans, Stormwater Plans wI Sill 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 />11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 i 1111111111111111I111111111 <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 (PloUSurvey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />