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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 />OWner's Name <br /> <br /> <br /> <br />Date Received <br /> <br />r Owner's Address <br /> <br />Fee Simple Titleholder Namel <br /> <br />Z .-h,1l <br /> <br />3' ~:5I/J- <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />SUBDIVISION <br /> <br />J- hI 'IIJ~ IZ 3.i 5'i;')- <br /> <br />I <br /> <br />D NEW.CONSTR E1 ADD/ALT D <br />D INSTALL REPAIR <br />PROPOSED USE D SFR D COMM D OTHER <br />TYPE OF CONSTRUCTION D BLOCK D FRAME D STEEL D OTHER I I <br /> <br />DESCRIPllON OF WORK /' I ,fttntrl: -1J 5% '" c.,v\, -"'-(>Ij ~o ""~ ~ ',,, "'" \~ ~ l"., I <br /> <br />BUILDING SIZE I SQ FOOTAGE I _ HEIGHT I I <br />11111111"1111"11111'1111111111"111"'11111'111111111111'1111'1111'11111"11111'1111'111111111'11111'11111111111"111'1111"111'111111"11"1111 <br /> <br />Fee Simple Titleholder Address <br /> <br />".. JOB ADDRESS <br /> <br />~(}]1 <br /> <br />/711 <br /> <br />sf-- <br /> <br />LOT # <br /> <br />PARCEL 10#1 001 -a~ ~ ~ \ - 6\<tS-O - COCoa ~ os=1o <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br /> <br />SIGN D MOVE D <br /> <br />WORK PROPOSED <br /> <br />DEMOLISH <br /> <br />r-l BUILDING / 1$1 <br />L-J . 1-1700 ",0 . <br />D ELECTRICAL 1$ I <br /> <br />D PLUMBING 1$ I <br /> <br />D MECHANICAL 1$ I <br /> <br />D GAS 0 ROOFING D SPECIALTY 0 OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />II111I11111111111111111111111111I111111111I111111111111111111111I111111111111111111111111111111111111I11111111111111111111111111111111111111111111 <br /> <br />BUILDER ./! j JI~)k ~_ d COMPANY /1 <br />SIGNATURE . /1>1~'-V'1 / (( ""0'''''.'0 <br /> <br />Address . <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 />/lcm-e <br />I Y I N I <br /> <br />t1wn~~ <br />FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />YI N FEE CURRENT <br /> License # <br />YI 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 />PLUMBER <br />SIGNATURE <br /> <br />Y/N <br /> <br />Address <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />COMPANY <br />REGISTERED <br /> <br />OTHER <br />SIGNATURE <br /> <br />Y/N <br /> <br />COMMERCIAL <br /> <br />License # <br /> <br />11111111111I11111111111111111111111111111111111111111111I11111111111111111111111111111111111111111111111I1111111111111111111111111 <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 onsile, Construction Plans, Stormwater Plans wi Silt Fence installed, <br />Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisionsllarge 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 />DI~~~ti~~~': ' . . . . . . . . . . . . . . . . . . . . . , . . . . . , . . . . . . . . . . . , , . . . . . . . . . . . . . . . . . . . . . . , . . . . . , . . . . . . , . . . . . . . . . . . . . , . , . . . . . . . . . . . . , . . . . . . . . . . . . , . . . . . , . . . . . , . . . <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 (Plot/Survey/Footage) <br /> <br />Address <br />111111111111111 <br />RESIDENTIAL <br /> <br />SIGN PERMIT <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />