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<br />813-78:0-~20 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br />Date Received <br /> <br /> <br /> <br />Owner's Name <br /> <br />, <br />ue L. <br /> <br />t1:l~~;;~,&,t AJ <br /> <br />Own... Add",.. I ~ <br />Fee Simple Titleh1der Name <br /> <br /> <br />Fee Simple Titleh~der Address I <br /> <br />JOB ADDRESS I ~ Lf J- 4- { <br /> <br />I <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />LOT # <br /> <br />S If yO, ue LA(tto'f.'fe d"-,,,,"~' ~ <br />I PARCELlD#1 /L!,Z'--22- ()O(o-o8(Pov-oOtJ() <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />[XJ ADD/ALT D SIGN D MOVE D <br />D REPAIR <br />D COMM D <br />D FRAME D <br /> <br />Hctn.J w~s/I S/y~lr: <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSE <br /> <br />B <br />D <br />D <br />1100 <br /> <br />PROPOSED USE I <br />TYPE OF CONSTRpCTION <br /> <br />DESCRIPTION OF ORK <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />BUILDING SIZE <br /> <br />SQ FOOTAGE I <br /> <br />DEMOLISH <br /> <br />OTHER I <br />STEEL ~ <br /> <br />70 {)AI?. Af2EA <br /> <br />HEIGHT I I <br /> <br />OTHER I <br /> <br />D BUILDIN 1$ I VALUATION OF TOTAL CONSTRUCTION <br />D ELECTRI 1$ I AMP SERVICE D PROGRESS ENERGY D W.R.E.C. <br />CXJ 1$ ". (9c::. I <br /> .OO~ <br /> ,-) <br />D MECHAN CAL 1$ I VALUATION OF MECHANICAL INSTALLATION <br />D GAS D ROOFING D SPECIALTY D OTHER <br />FINISHED FLOOR LEVATIONS I I FLOOD ZONE AREA DYES DNO <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 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 on site, 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 />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 /> <br />Y/ N <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 /> <br />License # <br /> <br />License # <br /> <br />I CFc /V:t-6Y8"2- I <br />I <br />I <br />I <br />I <br /> <br />Y/ N <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 />License # <br /> <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 tractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same <br /> <br />OVER THE COUNTE 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 />