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<br />Date Received <br /> <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />/rb~' <br />Phone Contact for Permittin <br /> <br />Fax-813-780-0021 <br /> <br />813-780-0020 <br /> <br />Owner's Name <br /> <br />V, t...-~, <br />W. <:;'W.b ~ tJ <br /> <br />~/'" <br /> <br /> <br />WORK PROPOSED <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />I <br />B <br />D <br /> <br />I <br /> <br />I <br /> <br />I <br /> <br />~,-z.64.. '3~lS4'L ~ LOT# ~ <br /> <br />PAR:ELlD#hz.. ~ ."'Z ~ - Oo::::x::> - 04900 . ~(o I <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Namel <br /> <br />JOB ADDRESS <br /> <br />Fee Simple Titleholder Address I <br /> <br />It;5o48 ~\~~ <br />I <br /> <br />--- <br /> <br />SUBDIVISION <br /> <br />--- <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />EJ <br />D <br />D <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br />FRAME <br /> <br />D <br />D <br />D <br /> <br />DEMOLISH <br /> <br />OTHER I <br />STEEL D <br /> <br />OTHER I <br /> <br /> <br />DESCRIPTION OF WORK <br /> <br />~c; <br />I <br /> <br /> <br />~u 'vet - <br />I ~q C1("T_) I <br /> <br />l60coS.~ <br /> <br />1111"11111111111111111111111111111111111111111111111111111111111111111111111111111111111111'1'111111111111111111111111111'1"1111.11111111111'1111 <br /> <br />SQ FOOTAGE <br /> <br />HEIGHT <br /> <br />BUILDING SIZE <br /> <br />BUILDING f"1t::.1$ ~OOO ~ I <br /> <br />D ELECTRICAL 1$ ---- I <br /> <br />D PLUMBING 1$ ---- I <br /> <br />D MECHANICAL 1$ ----- I <br /> <br />D GAS ~ ROOFING D SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES C]NO <br /> <br />11111I111111111I1111111111111111111111111111I11I1111I1111I111111111111111111111II1111111111111111II11111111111I11111111I11111111111111111111111111 <br /> <br />r;:: bCU> r:ttJG, I <br />L\ Tt Y / N I FEE CURRENT I Y / N I <br /> <br />License # k:-~L;~o I <br /> <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />D <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br />I'JOL._~ <br />Au-~W ~. <br />~~<) ~b <br /> <br />W.R.E.C. <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />BUILDER <br />SIGNATURE <br /> <br /> <br />m Le .L-. <br /> <br />Address <br /> <br />ELECTRICIAN I <br />SIGNATURE . <br /> <br />Address I <br /> <br />PLUMBER I <br />SIGNATURE <br /> <br />I <br /> <br /> <br />---- <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />------ <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/ N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />MECHANICAL I <br />SIGNATURE <br /> <br />License # <br /> <br />------ <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y / N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br /> <br />COMMERCIAL <br /> <br />License # I <br /> <br /> <br />~~HN~TURE 1~1~ ~~~I y~f-' <br /> <br /> <br />Address License # I Let /3,,^~ <br />11111111111111111111111111111111I1111111111111111111I111111111111111111111111111I111111111111111111I1111111111111111111111I11111I11111111I111111I1 <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 wI Silt Fence installed, <br />Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisionsllarge 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 />SIGN PERMIT <br /> <br />.....1111.........11...11111.111....1111111....11.....11.....11.....1111111.........11111111.......111...........111.......111111.11..111.11111111 <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 AlC Fences (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />