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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 />Owner's Address <br /> <br />Fee Simple Titleholder Namel <br /> <br />Owner Phone Number <br /> <br />Owner Phone Numbe;f <br /> <br />Owner Phone Number I <br /> <br />'6-13 - ll~ 9b4~ <br /><i?/3 ..sS~ JJ6 ~~\\ <br />I <br />I <br />I <br />I <br /> <br />LOT # <br /> <br />Owner's Name <br /> <br />Fee Simple Titleholder Address <br /> <br />53'd-1 ba.\\ 0\vd <br />I <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />E3 NEW CONSTR B ADD/AL T D SIGN D MOVE D DEMOLISH <br />INSTALL REPAIR ~ ,", S <br />'('.5 ~I.J ~,"Q)O~ <br />PROPOSED USE D SFR D COMM ~ OTHER I J(c,~\J~ '\:)()c ~ c..\ O"Y- '1.' c\) I <br />TYPE OF CONSTRUCTION D BLOCK D FRAME D STEEL D OTHER I I <br /> <br />DESCRIPTION OF WORK 1~~0 <L ~ (' ~"'~ h '~or.J, ~...,Q) ~><'OOl~:::. . OJ.. '\.0 ~\,'.>{. -.S,t.,,<,te,\'\::l 0 h'j <br />I I I I <\0 d V:lc. , \ <br />BUILDING SIZE SQ FOOTAGE HEIGHT <br />TIIIIIIII"IIIIIIIIIIIIIIII'I'IIIIIIIIIIII"IIIIIII""11111111""'111111111111111"11111111"11111111111111"1111"111'1111111111111111111111111 <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISiON <br /> <br />PARCEL ID#I <br /> <br />WORK PROPOSED <br /> <br />D BUILDING <br />D ELECTRICAL <br />D PLUMBING <br />D MECHANICAL <br /> <br />1$ 3co ,~ <br /> <br />1$ <br /> <br />1$ <br /> <br />1$ <br /> <br />D GAS D ROOFING D SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />11111111111111111111111111111I1111111111111111111111111111111111111111111111I111111111I1111II1111111111111111111111111I1111111111111111111111I1111 <br /> <br />ffC\19.SO I <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 />.---... <br /> <br />'- <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />----- <br /> <br />BUILDER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br /> License # <br />Y/N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> License # <br />YI N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> <br />Address <br /> <br />Address <br /> <br />COMPANY <br />REGISTERED <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />Y/N <br /> <br />Address <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br />111111111111111 <br />RESIDENTIAL <br /> <br />License # <br />1I1111I11111111I1111II111111111111111111111111I11111111111II1111111111111111I1111II1I11111111111111111111111111111111111111I11I11I <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, Stormwaler 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 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 />1111....11....,111..11..11...1....1.1....111.11111111.111111111111111111........11.1111111............111111........111.....11..11.11111.11111.... <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 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 />Driveways-Not over Counter if on public roadways..needs ROW <br />