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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 />Jt h57{ <br /> <br />Date Received <br /> <br /> <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Namel <br /> <br />Fee Simple Titleholder Address I <br /> <br />I 3q35 ~ke.r Rl'dg ~ <br />I Majesf(v OcJC~ I PARCELID#I <br />c=:r NEW CONSTR El <br />UZJ INSTALL <br />PROPOSED USE D SFR D <br />TYPE OF CONSTRUCTION D BLOCK D <br />DESCRIPTION OF WORK lyC\.r ~ \YL6clU :)e.+-~.p <br />I J3x32 I SQ FOOTAGE I Lf9Lf <br /> <br />...111..........,1'..............11.....'111..........11.1111..11.......11.111...........11...................11'.....11111....................... <br /> <br />1$ J6{JOO. 0 , <br /> <br />, <br /> <br />1$ 150. () ~ <br />1$ <br />1$ 500. <S~ <br />c=J GAS D <br />FINISHED FLOOR ELEVATIONS I <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />I <br />I <br />I <br />I LOT # I 7'3 I <br />1.~;-2lo-ll- OOC)O-C01CO-OOU <br />(OBTAINED FROM PROPERTY TAX NOTICE) t:;t? <br />D SIGN D MOVE D DEMOLISH <br /> <br />D <br />D <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br />FRAME <br /> <br />OTHER I pay~Wl{'JOLJ <br />STEEL D OTHER I <br /> <br />BUILDING SIZE <br /> <br />c=J <br /> <br />c=J <br />c=J <br /> <br />I <br />I <br />I <br />I <br />D <br />I <br /> <br />SPECIALTY D <br /> <br />FLOOD ZONE AREA <br /> <br />BUILDING <br /> <br />HEIGHT I <br /> <br />ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />PROGRESS ENERGY <br /> <br />PLUMBING <br /> <br />200.04 <br /> <br />c=J <br /> <br />D <br /> <br />D <br /> <br />W,R.E.C. <br /> <br />MECHANICAL <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />ROOFING <br /> <br />OTHER <br /> <br />DYES <br /> <br />DNO <br /> <br />...",.,1....'1111."....11..11111..111111....,'.11.'1.,.,11111111""'1111111111111"'.'111111111111111"11"111""1'111111".""111111111"1" <br /> <br />BUILDER <br />SIGNATURE <br /> <br /> <br />Address <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />Address <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />Address <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />I ~Lt~~~E~~t!-J . <br /> <br /> <br />License # I <br /> <br />I CVOJ1.deJl <br />I Y / N I FEE CURRENT <br />License # I <br />1~~jtf~(RR~H1 <br /> <br /> <br />License # I <br /> <br />Y/N <br /> <br />Y/N <br /> <br />Y/N <br /> <br />Llt0~ <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address License # <br />11111111' 11111111111111111111111111111111 till 11111 11111 11111 11111 11111 11111 11111 11111 11111 III II 1111I1111111111111111111111111111111111111111111111 <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 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 />SIGN PERMIT Attach (2) sets of Engineered Plans. . <br />....PROPERTY SURVEY required for all NEW construction. <br />11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I1111111111111111111I11111111111111111II11111111 <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 (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />