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<br />B13-7130-b020 <br /> <br />Date ReCI!ived <br /> <br />....111... <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br />Fee Simple Titlehtlder Namel <br /> <br /> <br />Fee Simple Titleh Ider Address <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSE <br /> <br />PROPOSED USE <br />TYPE OF CONST <br /> <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />o <br /> <br /> <br />0 <br />0 <br />0 MECHA <br />D GAS <br /> <br />BUILDER <br />SIGNATURE <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 />City of Zephyrhills Permit Application <br />Building Department <br /> <br />S.-o <br /> <br />/4/ <br /> <br />6,j/7/' <br /> <br />Fax-813-780-0021 <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />~Zl> <br /> <br />,4 b~ /1- <br /> <br />5 J'-/f- h ~ /1/ tJ.e / lre- <br />I PARCELlD#1 <br />E3 <br />o <br />o <br /> <br />o <br /> <br />o <br />o <br />5\/ .r 1--' A1 r <br />I 1 <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br />FRAME <br /> <br />/J- /.44,0/1 <br />SQ FOOTAGE I <br /> <br />LOT # <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE 0 DEMOLISH <br /> <br />OTHER <br />STEEL <br /> <br />I <br />D OTHER I <br /> <br />/CJt? - ItJ 8 <br /> <br />I <br /> <br /> <br />1$ <br />1$ 3. $',c; CJ en) <br /> <br />, <br /> <br />1$ <br />1$ <br /> <br />o ROOFING <br />FINISHED FLOOR LEVATIONS I <br /> <br />B <br />o <br />o <br />I h~r- <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />1,,/ <br /> <br />HEIGHT <br /> <br />AMP SERVICE <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />W.R.E.C, <br /> <br />o <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />r0oc- - 0/A- <br />~ (10\.;~ec\ un~ <br />(J~~<:JJ <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />Driveways-Not ver Counter if on public roadways..needs ROW <br /> <br />o <br />I <br /> <br />SPECIALTY 0 OTHER <br />FLOOD ZONE AREA DYES <br /> <br />DNO <br /> <br /> <br /> <br />YI N FEE CURRENT <br /> License # <br />Y I N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> License # <br />Y I N FEE CURRENT <br /> License # <br /> <br />Y/N <br /> <br />Y/N <br /> <br />Y/N <br /> <br />Y/N <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 />ttach (2) sets of Engineered Plans. <br />....PROPERTY SURVEY required for all NEW construction. <br /> <br />t 5 ~ 5' 2. ~License# IEF CJCJ<:l 1l:?7"? <br /> <br />Directions: <br />Fill out applicati n completely. <br />Owner & Contra tor sign back of application, notarized <br />If over $2500, a otice of Commencement Is required. (AlC upgrades over $5000) <br /> <br />.. Agent (for the co 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 Service Upgrades AlC Fences (Plot/Survey/Footage) <br />