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<br />813-780~oobo I <br /> <br />City of Zephyrhills Permit AppliCatiOn <br />Building Department <br /> <br />I ....n. .......... ....._ ____ <br />,. u, . . <br /> <br /> <br />Date Received <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br />Fee Simple TitleholC:Jer Name <br /> <br />Owner Phone Number q1 <br />'/fJowner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Fee Simple Titleholrer Address <br /> <br />JOB ADDRESS I 3 I u..rrnCA..-1 ;n~ r. <br />IfmeraJd PO/nT((V Resort1 <br /> <br /> <br />SUBDIVISION <br /> <br />t.f- <br /> <br />E3 NEWCONSTR E3 ADD/ALT 0 <br />INSTALL REPAIR <br />o SFR 0 COMM 0 <br />o BLOCK 0 FRAME 0 <br /> <br />Lana, + Scre~ fOJvm on e'{.isfin <br /> <br />X 31 SQFOOTAGE I D <br /> <br />WORK PROPOSED I <br /> <br />PROPOSED USE . <br />TYPE OF CONSTR~CTION <br /> <br />DESCRIPTION OF <br /> <br /> <br /> <br />BUILDING SIZE <br /> <br />/0 <br /> <br />1$ /0 I OliO, @.. <br /> <br />, <br /> <br />1$ <br />1$ <br />1$ <br /> <br />o ROOFING <br />FINISHED FLOOR aLEVATIONS I <br /> <br />I <br />I <br />I <br />I <br />o <br />I <br /> <br />SPECIALTY 0 <br /> <br />FLOOD ZONE AREA <br /> <br />fA] BUILDIN~ <br /> I <br />00 ELECTRldAL <br />D PLUMBIN~ <br /> I <br />D MECHANlbAL <br />D GAS <br /> <br />SIGN <br /> <br />o <br /> <br />DEMOLISH <br /> <br />OTHER I <br />STEEL 0 <br /> <br />~ncr~te. <br /> <br />HEIGHT I <br /> <br />OTHER I <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br />(0. -J~ <br />AMP SERViCe 0 PROGRESS ENERGY <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Pennlt for new construction, <br />Minimum ten (10) working days after submittal date. Required onsile, Construction Plans, Stonnwaler Plans wI Sill Fence installed, <br />Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projecls <br />Attach (3) sets of Building Plans; (1) set of Energy Fonns. R-O-W Pennit for new construction. <br />Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stonnwater Plans w/ Silt Fence Installed, <br />Sanitary Facilities & 1 dumpster. Site Work Pennit 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 /> <br />BUILDER <br />SIGNATURE' <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />AI" ;, <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br /> <br />Address <br /> <br />OTHER <br />SIGNATURE <br /> <br />Address <br /> <br />RESIDENTIAL <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />- ;-JOe n <br />,~~ Arr;:~~ <br /> <br />OTHER <br />DYES <br /> <br />ONO <br /> <br />, l..c;(\'\ /2., <br /> <br />\& <br /> <br /> <br /> <br />License # <br /> <br />FEE CURRENT <br /> <br />License # <br /> <br />Y / N FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />Y / N FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />Y / N FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />Directions: <br />Fill out applicati n completely. <br />Owner & Contr ctor 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 AERMITTING (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 />