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<br />813-780-0020 <br /> <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br />Date Received <br /> <br />e <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number l <br /> <br />-Owner's Name <br /> <br />...,. Owner's Address <br /> <br />Fee Simple Titleholder Namel <br /> <br />! 9',4 Sr .I r~'L LOT# I <br /> <br />I PARCEL ID# I 'f- 2 (p - ~{ ~ (JOf 0,- /XJUJO -- 0lJ3D <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />E1 NEW CONSTR ~ ADD/ALT 0 SIGN D MOVE 0 <br />INSTALL D REPAIR <br />PROPOSED USE [Rl SFR 0 COMM 0 OTHER I <br />TYPE OF CONSTRUCTION 0 BLOCK 0 FRAME 0 STEEL D <br /> <br />oloESCRIPTION OF WORK I f{ e ~ I~ .c ~ '-1 ~ // 5' ef t;' c I / /J -e <br /> <br />BUILDING SIZE ' I SQ FOOTAGE I HEIGHT <br />1111'111,.",'III,IIIIIII'lllrlll,IIII.,I"IIII'11111111"I"II'IIIIIII,rllllllllllllll,rlllllllllll'IIIIII'111'III,tl'IIIIII"111111111I'III'1111 <br /> <br />-JOB ADDRESS <br /> <br /> <br />I <br />3'S <br /> <br />Fee Simple Titleholder Address <br /> <br />SUBDIVISION <br /> <br />DEMOLISH <br /> <br />WORK PROPOSED <br /> <br />OTHER I <br /> <br />0<'0 <br /> <br />1$ <br />o ELECTRICAL 1$ <br />D PLUMBING 1$ <br />o MECHANICAL 1$ <br /> <br /> <br />D GAS 0 ROOFING 0 SPECIALTY 0 OTHER <br /> <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />11111I1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I111111111111111111I11111111111111 <br /> <br />aaUILDER I /) P <br />"'s'GNATURE (XY~ <br /> <br />I <br /> <br />BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C, <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />i# <br /> <br />J~ <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y / N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />ELECTRICIAN I <br />SIGNATURE <br /> <br />Address I <br /> <br />~LUMBER <br />S'GNATURE .~ <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y / N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />/~e<~ <br /> <br />License # <br /> <br />COMPANYA ~"'" e t7 wtf/.e /" <br />REGISTERED I Y / N I FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />Y / N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />OTHER <br />SIGNATURE <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br />111111111111111 <br />RESIDENTIAL <br /> <br />License # <br />1111111111111111111111111111111111111111111111111111111II11111111111I1111I111111111111111I1111111111111111111111111111111111111111 <br />Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fonns; R-O-W Permit for new construction, <br />Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stonnwater Plans w/ Silt Fence installed, <br />Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects <br />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 Pennit for all new projects. All commercial requirements must meet compliance <br />Attach (2) sets of Engineered Plans. <br />....PROPERTY SURVEY required for all NEW construction. <br /> <br />Di~~~ti~~~': ' . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . , . . . . , . . . . . . . '. . . . . , . . . , , . , . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> <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 />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />