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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number L <br /> <br />Date Received <br /> <br /> <br />- . q-o <br />66-1 LIA/()~- <br /> <br />Owner's Address I '] ~! c Z- <br />Fee Simple Titleholder Namel <br /> <br />Owner's Name <br /> <br />LIt,i1} Ii-I/f L- <br /> <br />Fee Simple Titleholder Address <br /> <br />JOB ADDRESS <br /> <br />~ '710 L <br /> <br />C A ~/17/"/1'tL.: <br /> <br />LOT # <br /> <br />B <br /> <br />PROPOSED USE D <br />TYPE OF CONSTRUCTION D <br /> <br />DESCRIPTION OF WORK II!-c~ ~ ;;) ~~ <br /> <br />BUILDING SIZE I SQ FOOTAGE I HEIGHT I <br />IIII'IIIIIIIIITITIIIIII"""I"IIIIIIIIIIII"I'IIIII'II11111'111111111111'11111111'111'1111111111111111'111111111111111111111111111111111111111" <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />I <br />B <br />o <br />o <br />/ L! JT <br /> <br />, <br /> <br />PARCEL 10#1 <br /> <br />SUBDIVISION <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br />FRAME <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />DEMOLISH <br /> <br />WORK PROPOSED <br /> <br />D <br />D <br />D <br /> <br />I <br />D <br /> <br />OTHER I <br /> <br />OTHER <br />STEEL <br /> <br />D BUILDING <br />D ELECTRICAL <br />D PLUMBING <br />D MECHANICAL <br /> <br />:: : <br />1$ I <br />1$ I <br /> <br />D GAS CEr ROOFING D SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES C:JNO <br /> <br />IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII!IIIIIIIII1111I1111111111111111I111111I1111I111111111I11111111111II11111111I11111111111111111111111111 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />o <br /> <br />WR.E.C, <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />BUILDER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y I N FEE CURRENT <br /> License # <br />YI N FEE CURRENT <br /> License # <br />YI N FEE CURRENT <br /> License # <br />YI N FEE CURRENT <br /> <br />Y/N <br /> <br />Address <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 />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br /> <br />License # I <br />roo//ft/c:-- <br /> <br />Address <br /> <br />~tJ ( ~ I)~ l}- <br />f 0 t> 0 f... / -5 b :JjJ ( / License # I I2c () P C; flJI,/ <br /> <br />I111111111111111111111111I111111111111111111111I1111111111I111111I11111111111111111I1111111111111111111111111111111111111111111111 <br /> <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 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 onsile, 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 />- <br /> <br /> <br />Address <br />111111111111111 <br />RESIDENTIAL <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Di~~~ti~~~': . . . . 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 (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />