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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 <br /> <br /> <br />I- (/1) <br />Ash IctVtol tJv <br /> <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Owner's Name 1 ( (: htt <br /> <br />Owner's Address I 7 I 3 r;;- <br />Fee Simple Titleholder Namel <br /> <br />JOB ADDRESS <br /> <br />Fee Simple Titleholder Address I <br /> <br />I 7 / 3s- <br />I <br /> <br />BUILDING <br /> <br /> <br />B <br />D <br />D <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />IJs It /~ Vlcl j) V- <br />I PARCELlD#13S-~ 2-)- 2-/ - OOS-()-OOOdd -CrL\ 0 <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br /> <br />E3 ADD/ALT SIGN D MOVE D <br />REPAIR <br /> <br />D COMM <br /> <br />D FRAME <br /> <br />LOT # <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />DEMOLISH <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />OTHER <br />STEEL <br /> <br />OTHER I <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />D <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />~vI <br /> <br />W.R.E.C. <br /> <br />D PLUMBING <br /> <br />D MECHANICAL <br /> <br />D GAS <br />FINISHED FLOOR ELEVATIONS <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />ROOFING <br /> <br />D <br /> <br />SPECIALTY D OTHER <br />FLOOD ZONE AREA DYES <br /> <br />DNO <br /> <br />BUILDER <br />SIGNATURE <br /> <br />11111111111111111111I1111111111111111111111111111111111I111111111111111111111111111111111111111111111111111111I11111111111111111111111111111111111 <br /> <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y I N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />COMPANY <br />REGISTERED <br /> <br /> <br />Address <br /> <br />COMMERCIAL <br /> <br />~I~HN~TURE ~ PAll--- I <br />Address 13"5010)1- 5'2- 10 ~ (Iff License # Ie C LoS" 775 J I <br /> <br />11111111111111111111111111111111111111111I1111111I1111II111111111I1111111111111111111111I111111111111111111111111111111111111111111111111111111111 <br />RESIDENTIAL 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 />SIGN PERMIT <br /> <br />Di~~~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 II 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. (AlC 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 AlC Fences (PloUSurvey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />