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<br />, I <br />813-780-002Q <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br /> <br />I <br />PARCELlD#1 , 1- - u- U;" ODIO- ()OUJO - 6 O'{b <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br /> <br /> <br />Date Received <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br />Fee Simple Titlehold r Namel <br /> <br />~ ! S7"; sr; <br /> <br />JOB ADDRESS <br /> <br />5/.5~ .;l / Sf" S 7: <br /> <br />SUBDIVISION <br /> <br />I <br />B <br />D <br />D <br />S~H x. to' <br /> <br />o <br />o <br />o <br /> <br />WORK PROPOSED <br /> <br />~ <br />o <br />o <br />I Fe.A(~ <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br />FRAME <br /> <br />PROPOSED USE <br />TYPE OF CONSTRU <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />DESCRIPTION OF <br /> <br /> <br />SQFOOTAGElsp FErr- <br /> <br />BUILDING SIZE <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />LOT # <br /> <br />SIGN <br /> <br />o <br /> <br />MOVE 0 <br /> <br />DEMOLISH <br /> <br />OTHER I ,FGr./C!-~ <br />STEEL 0 OTHER I <br /> <br />HEIGHT I c::. ' <br /> <br />~ BUILDING 1$/,ac?Or 00 I VALUATION OF TOTAL CONSTRUCTION <br /> , <br />0 1$ I AMP SERVICE D PROGRESS ENERGY D W.R.E.C. <br />0 1$ I <br />0 1$ I VALUATION OF MECHANICAL INSTALLATION <br />0 GAS 0 ROOFING D SPECIALTY 0 OTHER <br />FINISHED FLOOR I FLOOD ZONE AREA DYES DNO <br /> <br />BUILDER <br />SIGNATURE <br /> <br /> <br />COMPANY <br />REGISTERED <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br />:5;- <br /> <br />z: ;y-: /f/ s> <br /> <br />COMPANY <br />REGISTERED <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <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 /> <br /> License # <br />Y I N FEE CURRENT <br /> License # <br />YI N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> License # <br /> <br />Y/N <br /> <br />Y/N <br /> <br />Y/N <br /> <br />Y/N <br /> <br /> <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 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 />RESIDENTIAL <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Directions: <br />Fill out applica ion completely. <br />Owner & Cont actor sign back of application, notarized <br />If over $2500, a Notice of Commencement Is required. (AlC upgrades over $5000) <br /> <br />Agent (for the ontractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same <br /> <br />OVER THE COUN ER PERMITTING (Front of Application Only) <br />Reroofs Sewers Service Upgrades NC Fences (PloUSurvey/Footage) <br /> <br />Driveways-N t over Counter if on public roadways..needs ROW <br />