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<br />813-780-0020 <br /> <br /> <br />City of Zephyrhills Permit ~Jllication <br />Building Departmentrnttk 213 .r- <br /> <br />'3 <br /> <br />Date Received <br /> <br />OWner's Name <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Name <br /> <br />Fee Simple Titleholder Address I <br /> <br />:t/(.51 f)~,,~ 2y;1,~k1L.fi 3"'>S'/-?- <br /> <br /> <br />_~ PARCELlD#1 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br /> <br />0.--- NEW CONSTR E3 ADD/All D SIGN D MOVE D DEMOLISH <br />rn-- INSTALL REPAIR ~ <br /> <br />~~::~O~~~RUCTIO" Efr-- ::::CK 8 :::E 5 ~~=:~ ~~-:f--.- <IL Mr <br /> <br /> <br />DESCRIPTIONOFWORK ~.d (!t~j:-;I jl-~ ~ <br /> <br />BUILDING SIZE I I SQ FOOT~GE I I HEIGHT I I <br />1111111' III' 11111' 11'11'1'111111 t 11111111' III '11111111'" I' 11'1111" 11111' 111'1111111'; III" 11'1111"11'111111' 11'1111' 11'11111'111111111' 1II1111 , <br /> <br />lOT # <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />D <br />U2f^^ <br /> <br />1$ <br /> <br />1$ <br />. '5'1-3. ~? <br /> <br />D PLUMBING 1$ <br /> <br />D MECHANICAL 1$ <br /> <br />D GAS D ROOFING D SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />111I11111111111111111111111111111111111I1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />BUILDING <br /> <br />ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />COMPANY <br />REGISTERED <br /> <br />BUILDER <br />SIGNATURE <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br /> <br />License # I <br /> <br />~~4j'~~4vi" I <br /> <br />License # I~LI?n ?O'~9 <br /> <br />Address <br /> <br />ELECTRICIA <br />SIGNATURE <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 /> <br />MECHANICAL I <br />SIGNATURE <br /> <br />Address I <br /> <br />OTHER I <br />SIGNATURE <br /> <br />Address I License # <br /> <br />111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I111111111I111111111111111111111111111111111 <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 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 />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/ N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/ N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />,.......11.11..11...1111..11........111.......1111.11.111.111..1111.11.....11111.......11....11111.....111....11....111111.........11111.11.....11 <br />Directions: . <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 Attomey (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 />