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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 Receiiyed <br />11111111111 <br />Owner's Name Z L 'W :r Vv c.. <br /> <br />Owner's Address I b ~ I S DB i R y t<d\. <br />. <br /> <br />Fee Simpl4~ Titleholder Namel <br /> <br /> <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />JOB ADDRESS <br /> <br />Fee Simple Titleholder Address I <br /> <br />I 015' \ I \-< fI t Q 9.. t ~ V"\ h rot- . <br />ICh.C1r(Ps'/brv1 OAt< sl PARCELID#loc?-26-.,7!-O~O-Cl~~- C>O l7 C> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />~ ADD/ALT D SIGN 0 MOVE D <br />t=J REPAIR <br />D COMM D <br />~ FRAME D <br />r[) U. ple.X <br />I <br /> <br />LOT # <br /> <br />5 <br /> <br />SUBDIVISION <br /> <br />~ <br />~ <br />cg// <br /> <br />m <br /> <br />PROPOSED USE D <br />TYPE OF CONSTRUCTION ~ <br /> <br />DESCRIPTION OF WORK I <br /> <br />BUILDING SIZE I r; r X S Y <br /> <br />1$ <br />1$ <br />1$ <br />1$ <br />D <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />DEMOLISH <br /> <br />WORK PROPOSED <br /> <br />OTHER I <br />STEEL 0 <br /> <br />OTHER I <br /> <br />SQ FOOTAGE <br /> <br /> <br />HEIGHT I /7 ~ C(' r( <br /> <br />BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />~DJ) - ~\p\ <br /> <br />GAS <br /> <br />ROOFING <br /> <br />I <br />I <br />I <br />I <br />D <br />I <br /> <br />AMP SERVICE <br />{}oeJ <br /> <br />~ <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />ELECTRICAL <br /> <br />J!3:- ~ . <br />VALUATION OF MECHANICAL INSTALLATION ;' .., ~ <br />W~6 J ~ r:fYl-~5 <br />OTHER .j I 6.."L <br />DYES DNO <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />PLUMBING <br /> <br />~:ECHANICAL <br /> <br />D <br />FINISHED FLOOR ELEVATIONS I <br /> <br />Address <br /> <br /> <br />COMPANY I ~mr <br />REGISTERED / N I <br /> <br /> <br />Address <br /> <br />Btu L r(O",~-: ;;f~ , <br />FEE CURRENT (~ '0/ N I <br /> <br />License # I c f<.c t'> 5<l s '3 <0 <br /> <br />~~~. CFL~~R~TElrst(r~' <br /> <br />License # k"C' 0 00::; 5 70 <br /> <br />" ,~, ~ <br />~~,<., \\::\,,\\\~~-s, ~'-- <br />I t!J N I FEE CURRENT I ( N I <br /> <br />License # I ~ ~'-- \ I..( ~ .~.S=~ <br /> <br />I Lf'41//23 h.t!?~A_~ GAS L/lk .:L#c., <br />I(~N I FEEtURRENT I ~O <br /> <br />License # k" -4 co,/ J9 Y ~ <br /> <br />BUILDER <br />SIGNATURE <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />PLUMBER <br />SIGNATUR.E <br /> <br />Address <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />Address <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />1111111111111111111111111111111111111111111111111111111111I111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <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 />COMMERCIAL 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 />SIGN PERMIT Attach (2) sets of Engineered Plans. <br />....PROPERTY SURVEY required for all NEW construction. <br />1111I1111I111111111111111111111111111111111111111111111111111111111I1111111111111111111I111111111111111111I11I11111111I1111I1111111111111I1I111111 <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 A1C Fences (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />