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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 />~-IY -Df <br /> <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />/ Owner's Name /vlttYI,4l;'!v L lIP L MJ ~ <br />/owner'sAddress I S-~61 /~/fI 67'Rgy.-r' <br />Fee Simple Titleholder Namel <br /> <br />Fee Simple Titleholder Address I <br /> <br />/JOB ADDRESS <br />SUBDIVISION <br /> <br />I /;631 It. 711 S 1RPt;Y <br />I <br /> <br />LOT # <br /> <br />PARCELlD#1 <br /> <br />B <br /> <br />PROPOSED USE 0 <br /> <br />TYPE OF CONSTRUCTION 0 <br /> <br />/ DESCRIPTION OF WORK I slltJj) <br /> <br />BUILDING SIZE I IfJX 1'/ sa FOOT~E I HEIGHT I <br />TIT" IIII1I TTTTlTT"' II. 11111'11111. III' 1111'. 111'1111' ,. III 11' 1111111' 'II 1'11111111" 1111111' 1'111111111'. III. 1111. 1'1111111'111111111 III1IIIIII11 <br /> <br />D BUILDING / 1$ ).t.j~~!L-- <br /> <br />D ELECTRICAL 1$ <br />D PLUMBING 1$ <br />D MECHANICAL 1$ <br /> <br />D GAS 0 <br />FINISHED FLOOR ELEVATIONS I <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />I <br />~ <br />o <br />o <br /> <br />(06T AINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE 0 <br /> <br />DEMOLISH <br /> <br />WORK PROPOSED <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br />FRAME <br /> <br />o <br />o <br />o <br /> <br />I <br />D <br /> <br />OTHER I <br /> <br />OTHER <br />STEEL <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C, <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />ROOFING <br /> <br />o <br />I <br /> <br />SPECIALTY 0 <br />FLOOD ZONE AREA <br /> <br />OTHER <br /> <br />DYES <br /> <br />DNO <br /> <br />BUILDER / <br />SIGNATURE <br /> <br /> <br />COMPANY / I <br />REGISTERED <br /> <br />I ~~rhl~~RENT <br /> <br /> <br />License # I <br /> <br />Y/N <br /> <br />Address <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N FEE CURRENT <br /> License # <br />YI N FEE CURRENT <br /> License # <br />Y I N FEE CURRENT <br /> License # <br />YI N FEE CURRENT <br /> License # <br /> <br />Y/N <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />COMPANY <br />REGISTERED <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />Y/N <br /> <br />Address <br /> <br />COMPANY <br />REGISTERED <br /> <br />OTHER <br />SIGNATURE <br /> <br />Y/N <br /> <br />Address <br />111111111111111 <br />RESIDENTIAL <br /> <br />111I1111I1111111111I11111111111111I111111111I11111111111I1I1111111111111111I11111I11111111111111111111111111111111111111111111111I <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 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~~~ii~~~': ' . . . . , , . . . , . . . . . . . , . , . . . . . , . . . , , . . . . , . . . . . . . . . , . . . . , . . . . , . . . . . . , , . . . . , . . . . . , . . . , . , , . . . , , . . . . . . . . . , . . , , . . . . . . , , . . . . . . . , . . . . . . . , . . . . . . . . . <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 NC Fences (Plot/Survey/Footage) <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />