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<br />, <br />Date Received <br /> <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br />/ Owner's Address <br /> <br />31(~ 0 <br />{'nan'a l.arC{(Ut.nte <br /> <br />I '5 <0 () S' Ceu. i t: L. -t <br /> <br /> <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />/ Owner's Name <br /> <br />Fee Simple Tltleh der Namel <br /> <br />/ JOB ADDRESS <br /> <br />Fee Simple Titleh der Address I <br /> <br />ISC,oJ-<6 <br />I <br /> <br />CU,,",'e, <br /> <br />CT <br /> <br />LOT # <br /> <br />WORK PROPOSE <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />I <br />B <br />D <br />D <br />LA P u .fence <br />SQ F~OT AGE I J 0; 4- <br /> <br />PARCELlD#1 <br /> <br />\ ;). -;;;"0; - d- \ - C::> :':>\D - OOCOO -0%-0-0 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />DEMOLISH <br /> <br />SUBDIVISION <br /> <br />PROPOSED USE <br />TYPE OF CONSTR <br /> <br /> <br />E3 <br />D <br />D <br />I Pu 1 t i '" <j <br />I <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br />FRAME <br /> <br />D <br />D <br />D <br /> <br />OTHER <br />STEEL <br /> <br />I <br />D <br /> <br />OTHER I <br /> <br />I DESCRIPTION OF ORK <br /> <br />BUILDING SIZE <br /> <br />HEIGHT I <br /> <br />0 BUILDIN /1$ , )tLOO <br />0 AL 1$ <br />0 1$ <br />0 MECHAN CAL 1$ <br />0 GAS D ROOFING <br />FINISHED FLOOR LEVATIONS I <br /> <br />Address <br /> <br /> <br />I BUILDER <br />SIGNATURE <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 />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 subdivislonsllarge 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 />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Directions: <br />Fill out applicati n completely. <br />Owner & Contra tor sign back of application, notarized <br />If over $2500, 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 R PERMITTING (Front of Application Only) <br />Reroofs Sewers Service Upgrades NC Fences (Plot/Survey/Footage) <br /> <br />Driveways-Not ver Counter if on public roadways..needs ROW <br />