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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 />.. <br /> <br /> <br />Owner phone Number <br /> <br />Owner Phone Number t <br /> <br />Owner Phone Number l <br /> <br />Owner's Name <br /> <br />(.e.L ~~ L1D <br />Owner's Address Il 0 cf\~ ~~ -+~ ~1 N <br />Fee Simple Titleholder Namel <br /> <br /> <br />Date Received <br /> <br />I~~~ -n.{,"--.- I <br />I <br /> <br />Fee Simple Titleholder Address I <br />I 5~'o~ V~b~~ <br /> <br />trretUmL-Mob,u- ~ Vat~ <br /> <br />LOT # <br /> <br />D <br /> <br />o NEW CONSTR D ADD/ALT 0 <br />D INSTALL ~ REPAIR <br />PROPOSED USE 0 SFR 0 COMM 0 OTHER <br />TYPE OF CONSTRUCTION D BLOCK 0 FRAME 0 STEEL 0 OTHER I <br /> <br /> <br />::~::'~:::EOFT"K 'f?~\1 '::A~t~ ~ 14>kcf :~~t) ~~"'FT ,;-- ] <br /> <br /> <br />II 1 I I I I , I . , I I I 1 I ' I . I . I ' , I . I 1 I I ' I . , I I I ! I I ~ I , I . I I I I 1 . 1 I . , , I ~ I . . I ' ! I 1 I I I ' I ' I ' , I I . , I ' I I 1 I ' : I , I I I I ' I . I I ' I . I , ' , , I 1 I 1 I ' I . I 1 ' I I ' I ' I I ' I I . I , I I I ' . I I I I I 1 . 1 I I 1 <br /> <br />1$ I <br /> <br />qm ELECTRICAL 1$ ~D ~ 1 <br /> <br />o PLUMBING 1$ \ <br /> <br />o MECHANICAL 1$ 1 <br /> <br />o GAS 0 ROOFING 0 SPECIALTY 0 OTHER <br /> <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />1111I1111I1111111111111111111111111111111111111111111I111111111: 1111111111111111111111 [""""""""""""""11""""""""""'""""'1 <br /> <br />BUILDER COMPANY - <br />SIGNATURE REGISTERED Y / N FEE CURRENT Y / N <br /> <br />PARCEL ID#l \c .l.l,... 1..l. ooro. oalOJ. OD0.:) <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN 0 MOVE 0 <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />DEMOLISH <br /> <br />WORK PROPOSED <br /> <br />BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />00 <br /> <br />PROGRESS ENERGY <br /> <br />o <br /> <br />WRE.C. <br /> <br />to:::, <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br /> <br />License # <br /> <br />Address <br /> <br /> <br />~~~~~~~~\l~ <br />Address '\PO 6~ ~ Io::l- ~~l ~.\ G <br />PLUMBER I <br />SIGNATURE <br />I <br /> <br />Ft <br /> <br />~S:f1' O~~L-- <br />I COMPANY I <br />. .'G""RED <br /> <br />License # <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />MECHANICAL I <br />SIGNATURE . <br /> <br />Address I <br /> <br />OTHER I <br />SIGNATURE <br /> <br />Address I License # <br />1111111111111111111111111111111111111111111111111111111111111111,111111111111111111111111111111111111111111111I11I1111111111111I11111111111I11I111 <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 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 />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 />I".."'.,.,."..."'.."'.,."."'...""'.""'...""".."",.".,.""".".""".,.,',.,"",.".".."""""""""""""".,"""" <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 />