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<br /> <br />City of Zephyrhills Permit AppliCatiOn <br />Building Department <br /> <br />Date Received <br /> <br />Owner's Name <br /> <br />. a^-~.v ,....... ........._. <br /> <br />JOB ADDRESS 33 LOT # 1d?1- ~'fl <br />SUBDIVISION /1-~-c2I- oo/{)- /;;J../(){)-O.;UO I <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br />WORK PROPOSE E3 NEW CONSTR B ADD/ALT D SIGN D MOVE D DEMOLISH <br /> INSTALL REPAIR <br />PROPOSED USE D SFR D COMM D OTHER I <br />TYPE OF CONSTR D BLOCK D FRAME D STEEL D OTHER I <br />DESCRIPTION OF I Pa...T to Cove., aV\d.. Concy-~-t <:. <br />BUILDING SIZE 13xtfO &~ SQ FOOTAGE I bdO zJ HEIGHT I <br /> <br /> <br />I <br />I <br />I <br />I <br />D <br />I <br /> <br />~ BUILDIN 1$ 0000. ro <br />D ELECTRI 1$ <br />D 1$ <br />D MECHAN CAL 1$ <br />D GAS D ROOFING <br />FINISHED FLOOR LEVATIONS I <br /> <br />AMP SERVICE <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />~Dl~ <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 onsile, 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 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 />SPECIALTY D <br /> <br />FLOOD ZONE AREA <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 />Address <br /> <br />RESIDENTIAL <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />OTHER <br />DYES <br /> <br />~O <br /> <br />I Re1~blf~ Cm!t.LV OaIhRr ! <br />I 6 _ ~ I FEE CURRENT I('j?I N I <br />CJD I J License # I (!, 13 ~ / :<51<Z:J.-~ I <br />I I <br /> <br />I <br />I <br /> <br />I <br />I <br /> <br />I <br />I <br /> <br />I <br /> <br />Y/N <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />License # <br /> <br />YI N <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />License # <br /> <br />Y/N <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />License # <br /> <br />Y/ N <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />License # <br /> <br />Directions: <br />Fill out applicati n completely. <br />Owner & Contra tor sign back of application, notarized <br />If over $2500, a Notice of Commencement Is required. (AlC upgrades over $5000) <br /> <br />Agent (for the c ntractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same <br /> <br />OVER THE COUNT PERMITTING (Front of Application Only) <br />Reroofs ewers Service Upgrades NC Fences (PloUSurvey/Footage) <br /> <br />Driveways-Not ver Counter if on public roadways..needs ROW <br />