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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br />Owner's Address <br />I 0"""1 t/. <br />Fee Simple Titleholder Name <br /> <br /> <br />Fee Simple Titleholder Address I <br /> <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 Name <br /> <br />Z erh Ljlr h. II s FL.I <br />I <br /> <br />I JOB ADDRESS <br /> <br />~5"'l( )" <br /> <br />((-/'7 5"-. 2erlny':-h:f15 Pz.. <br /> <br />LOT # <br /> <br />PARCELI;l /1 2b 21 01010 0' g<f><DO <br /> <br />0090 <br /> <br /> WORK PROPOSED B <br /> PROPOSED USE 0 <br /> TYPE OF CONSTRUCTION 0 <br /> I nQ <br />I DESCRIPTION OF WORK <br /> BUILDING SIZE <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />I <br />B <br />D <br />D <br /> <br />ADD/AL T <br />REPAIR <br />COMM <br />FRAME <br /> <br />o <br />o <br />D <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN 0 MOVE D <br /> <br />I <br />o <br /> <br />DEMOLISH <br /> <br />SUBDIVISION <br /> <br />OTHER <br />STEEL <br /> <br />OTHER I <br /> <br />-""Off. ,2 9'6. <br />I SQ FOOTAGE I <br /> <br />111"I'I'II,IIII'III,'IIIIII'llrllllllll'III'IIII'II"1111'1"1'111"1'1'111'1111111'1'111'1"'111'11'1111'1"'11111111"'1111'111,1111'11111'1111' <br /> <br />HEIGHT I <br /> <br />D <br /> <br />41$ 2400-;- <br /> <br />D ELECTRICAL 1$ <br /> <br />D PLUMBING 1$ <br /> <br />D MECHANICAL 1$ <br /> <br />D GAS 0 ROOFING D SPECIALTY 0 OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />1111111111111111111I111111111111I11111I11111111111I111II11111111II11111111111I1111111111I111111I11111I11I1111111111111111111111111I111111111111111 <br /> <br />BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />Address <br /> <br />?-p06 ?-.. <br /> <br />, <br /> <br />13Jt; fi>1/'"e-1~ Lawl/! (JI. <br /> <br />I <br /> <br />~".pOo4 ~.,.,cp a.1 <br /> <br />I <br /> <br />BUILDER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y I N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> License # <br />Y I N FEE CURRENT <br /> License # <br />Y I N FEE CURRENT <br /> License # <br />YI N FEE CURRENT <br /> <br />Y/N <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 />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />SIGN PERMIT <br /> <br />License # <br />11111111111111111111111111111111111111I111111111I11111I11111111111111111111111111111111111111II1111111111111111I111111111111111111 <br />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 Pennit 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 on site, Construction Plans, Stonnwater Plans wI Silt Fence installed, <br />Sanitary Facilities & 1 dumpster. Site Work Permit 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~~~ii~~~': . . . . . . . , . . . . . . . . . . . . . . , . . . . . . , . . . . . . . . . . , . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <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 AlC Fences (PloUSurvey/Footage) <br /> <br />Address <br />111111111111111 <br />RESIDENTIAL <br /> <br />COMMERCIAL <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />