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<br />Owner's Address <br /> <br /> <br /> <br />Fax-813-780-0021 <br /> <br />~~J7~ <br /> <br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />07 <br /> <br />(0 IIi/LA'$' <br /> <br />'f' J ~H~ <br /> <br />Fee Simple Titleholder Name ~,; (OIJlNd.r <br /> <br />::::::E::'hDld'T,:~:d7J~~.~:~t 2cl!JtvAHlu.1J,&"L I~JL:~I# <br /> <br />I A,I.c~~s-r I PARCELID#IO~-Z.\.'21-0~IO-DOOOC) -0+401 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />ri7f ADD/ALT 0 SIGN 0 MOVE 0 <br />t:j REPAIR <br />:~ COMM 00 <br />FRAME <br /> <br />rA '11I61 ~O ~,tI J E.CIt- ~..4 #N <br /> <br />iF~~~:d"~~'\f;~:~~;:r~!f.:.~"""",,,,!,,,,~~~~,,I,,,,, IIIIIII .. "5d~"~"" <br /> <br /> <br />D ELECTRICAL 1$ I /~~PSERVICE D <br /> <br /> <br />D PLUMBING i$ (.~ <br /> <br />D MECHANICAL 1$ I v N OF MECHANICAL INSTALLATION <br /> <br />D GAS 0 ROOFING D SPECIALTY 0 OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />11111111'111111111 ~ 11111111111111111111111111111111111111111111111111111 ~ 11!!t!:! 1111111111111111111111111111111111111111111111111111111111111 <br /> <br />:~~~~~RE I~ a I R~~~~~~ I lJ(it:'fO~:'c~~T Y/N I <br /> <br /> <br />License # I I <br /> <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />Date Received <br /> <br />Owner's Name <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />B <br />g <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />DEMOLISH <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />OTHER <br />STEEL <br /> <br /> <br />OTHER I <br /> <br />DESCRIPTION OF WORK <br /> <br /> <br />Address <br /> <br /> <br />~S1l <br /> <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />Y / N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y / N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/ N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br />111111111111111 <br />RESIDENTIAL <br /> <br />License # <br />1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <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 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 w/ 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 />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Di~~~tj~~~': . I I I . . . . I I . . I I . . I I I . . I I I . . . . I I I I . . I I I . . . . I I . . , . I . . . . . . . . . I I I . . . . . I I I . . I . I . . , . I . . , . . I I . . . . . . I I I I . I I I . . . , . . I I I . . . , . . , . , I . . . . . . . I I . I . I I . . , <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 />Driveways-Not over Counter if on public roadways..needs ROW <br />