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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br />Date Received 5 -I S.. 0 --, <br /> <br />OWner's Name e /2-'7 r /I C; C-- <br />Owner's Address I 3 '} 0 c;;., ;2. S t1 / /9tif <br />Fee Simple Titleholder Namel <br /> <br /> <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Fee Simple Titleholder Address <br /> <br />PARCELlD#1 <br /> <br />I LOT # I <br /> <br />\'3 - ~G --d\ - O'DO.~ct:XX.>O-6(/30 I <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />MOVE D <br /> <br />JOB ADDRESS <br /> <br />3<:10 'd- d- <br /> <br />So~ <br /> <br />P>reJ(- <br /> <br />SFR <br />BLOCK <br /> <br />I <br />B <br />D <br />D <br /> <br />SIGN <br /> <br />o <br /> <br />DEMOLISH <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />NEW CONSTR <br />INSTALL <br /> <br />ADD/All <br />REPAIR <br />COMM <br />FRAME <br /> <br />o <br />o <br />o <br /> <br />~ <br /> <br />PROPOSED USE 0 <br />TYPE OF CONSTRUCTION 0 <br /> <br />DESCRIPTlONO.WORK 16' Itle / t2((/,4e~ f~(!e <br /> <br />BUILDING SIZE 1 I SQ FOOTAGE I V - I HEIGHT I b ( I <br />TIIIIII"'l'IIII'IIIII'II'lllll'IIIIII.IIIIIIII'11111111111111'11111"1111111'1111111111111111'1111111111111'11111'1111'11111111111111111'11111111 <br /> <br />OTHER I FEfllCo(" <br />STEEL 0 OTHER I <br /> <br />~ BUILDING l~ooCJ,o 0 I <br /> <br />D ELECTRICAL 1$ I <br /> <br />D PLUMBING 1$ I <br /> <br />D MECHANICAL 1$ I <br /> <br />D GAS 0 ROOFING D <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I111111111111111111111111I111 <br /> <br />:~~~~RE 6 uJ ~ ~~:~~~~ ,[,~~ <br /> <br /> <br />Address _ License # <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY 0 <br /> <br />OTHER <br /> <br /> <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y / N FEE CURRENT <br /> License # <br />Y / N FEE CURRENT <br /> License # <br />Y / N FEE CURRENT <br /> License # <br />Y / N FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />Address <br /> <br />COMPANY <br />REGISTERED <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />Y/N <br /> <br />Address <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br />111111111111111 <br />RESIDENTIAL <br /> <br />License # <br />11111111111111111111111111111111111111111111I11111111111111111111111111111111111111I1111111111111111111111I1I11111111111111111I11I <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 onsite, 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 />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Di~~~ti~~~': I I I I I . . . . I I I I I I I . . . . I I I I I . I I I I I . . I I I I I I I I I . I I I . I I I I I I I . I I I I . . I I I . . . . . . I . I . . I I I I I I I '. . . I . I I I . I I I I I I I I I . I . . . . . . . I I . I I I I I I I I I . . I I I I I I . I I I . . <br /> <br />Fill out application completely. <br />Owner & Contractor sign back of application, notarized <br />If over $2500, a Notice of Commencement is required. lAIC upgrades over $5000) <br /> <br />Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same <br /> <br />OVER THE COUNTER PERMITTING (Front of Application Only) <br />Reroofs Sewers Service Upgrades NC Fences (PloUSurvey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />