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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Date Received <br /> <br /> <br /> <br />Fax-813-780-0021 <br /> <br />f \'\e~ <br /> <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br />FRAME <br /> <br />PARCELlD#1 il- Z(r 21- DOlO ~ O~C)Zoo-Do8 0 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />o SIGN D MOVE 0 <br /> <br />o <br />o <br /> <br />Owner Phone Number XI ~ -? ./ I -- ;; h " <br /> <br /> <br />Owner Phone Number I ~I 3 - 7 48- I ~'J8 cE:} <br /> <br /> <br />Owner Phone Number I I <br /> <br />I <br />I <br />I <br /> <br />Owner's Name 5 <br /> <br />I- <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Namel <br /> <br />\1 (" <br /> <br />Fee Simple Titleholder Address <br /> <br />JOB ADDRESS <br /> <br />.3 ?Gor <br /> <br />I( 1+,4u€- <br /> <br />LOT # <br /> <br />SUBDIVISION <br />WORK PROPOSED <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br />DESCRIPTION OF WORK <br />BUILDING SIZE <br />D BUILDING $ <br />D ELECTRICAL 1$ <br />D PLUMBING 1$ <br />D MECHANICAL 1$ <br />D GAS 0 <br />FINISHED FLOOR ELEVATIONS <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />DEMOLISH <br /> <br />OTHER <br />STEEL <br /> <br />I <br />D <br /> <br />OTHER <br /> <br /> <br />SQ FOOTAGE I we <br /> <br />~ ef- c.c 11 C ,-~ <br />HEIGHT I <br /> <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 />ROOFING <br /> <br />I <br />I <br />1 <br />D <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />N~/ ,- <br /> <br />BUILDER <br />SIGNATURE <br /> <br /> <br />SPECIALTY 0 OTHER <br />FLOOD ZONE AREA DYES <br /> <br />DNO <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />I 1-\ -~~ ~~f'~ -?e/4ruw~ -vr~ <br />IY l:=r FEE CURRENT I Y I N I <br />License # I~e 1'51/'17'1'3'7 I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />Address <br /> <br />License # <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />YI N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />YI 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 />1I1111111111111111111111111111I111III11I111111111I1111III1111111111111111I11111I1111111111I11111111I111111111I11111111111111111111 <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 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 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 />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Di~~~t;~~~': ' , , . . . . . . , . . . . . . , . . . . , , , . . , . . , . . . . . . . . . . . . . . . . . . . . . . . , , . . . , , . , . . . . , , . . . . . . . . . , . , . . . . . , . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <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 />