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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 />ct '1- 0 '^- <br /> <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Namel <br /> <br />Fee Simple Titleholder Address <br /> <br />JOB ADDRESS <br /> <br />3~3bl <br /> <br />c. ~ '51.\ <br /> <br />LOT # <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />I <br />ffi <br />D <br />D <br />~ (ru.tv ~ ~J <br /> <br />PARCELlD#1 ()~- ~b -:;1..\ - 00 \ ~ . OOQ?O - 00 ~ 0 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br /> <br />SIGN <br /> <br />o <br /> <br />MOVE D <br /> <br />DEMOLISH <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br />FRAME <br /> <br />D <br />D <br />D <br /> <br />DESCRIPTION OF WORK <br /> <br />,VU7 ,/ <br /> <br />'~~0e.s <br /> <br /> <br />BUILDING SIZE SQ FOOTAGE I HEIGHT I <br />TITTTIIII' '1'111111' 1111'" '11111111111111"" 11111111' III' 111111111111111111111111111111111111I1111111111111111111111' , 11111111111111111111111111 <br /> <br />D BUILDING 1$ I VALUATION OF TOTAL CONSTRUCTION <br /> <br />1$1 <br />SeD, cD . <br />1$ I <br />1$ I <br /> <br />D GAS D ROOFING D SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />11111111111111111111111111111111111111111111111111111111111111I11111I111111111111I111111111111111111111111111111111111111111111111111111111111111I <br />I <br />I <br /> <br />0' <br /> <br />ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C, <br /> <br />D <br /> <br />D <br /> <br />PLUMBING <br /> <br />MECHANICAL <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />BUILDER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />YI N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br /> <br />'-- <br />~ If\( . <br />FEE CURRENT <br /> <br /> <br />ELECTRICIAN l.--.--rr ~.I\ <br />SIGNATURE ~)I.../'-:, ~ ~ <br />Address I ~.C>, to~ '9b.'l. "2-'^~..\t. 'FL 3:lS"l~ <br /> <br />~~~:~~E I I <br /> <br /> <br />Address I <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y I N FEE CURRENT Y I N <br /> <br />License # <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y I N FEE CURRENT Y I N <br /> <br />Address <br /> <br />License # <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />YI N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br />1\1111111111111 <br />RESIDENTIAL <br /> <br />License # <br />111111111111111\111111111111\1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I11111I11I <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 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 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~~~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. (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 A1C Fences (PloUSurvey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />