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<br />Date Received <br />. <br /> <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br />813-780-0020 <br /> <br />Owner's.Name <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Namel <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />JOB ADDRESS <br /> <br />Fee Slmpl. TItleholde, Add.... I ~ t3'~ ~ <br /> <br />! ? ,qoo r 0tw '1ltJaj e~. Z- ~ lis f/ 735'1-3-r LO~~- I B~ I <br /> <br />I I PARCEL ID#I 03-;2h-2/ -OOJO' 66/00 ' (X) J 0 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />r71 ADD/ALT D SIGN D MOVE D <br />D REPAIR <br />[21 COMM [2f OTHER 'rZ.'lTEfllor- {71 f3/-E-t-. -(1 ~ ..fC I EC. Se-jt:tPta <br />D FRAME D STEEL D OTHER I I <br /> <br />I <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />B <br />D <br />D <br />I <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />DEMOLISH <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />DESCRIPTION OF WORK <br /> <br /> <br /> <br />~~:~~I~~I ~:~~ III )1111111 ' , 11111111111 , , , ) III ' ,~~ I~~'~~ ~~I~ .1"111111 , 1111 , 11111111 ! , II , ~~:~~~ I ) I111 ~ IIf 11111 ' I ' , , ,111111111111111111111111 <br /> <br />D BUILDING 1$ I VALUATION OF TOTAL CONSTRUCTION <br />[2r ELECTRICAL :: L,ODO : AMP SERVICE czr PROGRESS ENERGY D W.R.E.C. <br />0 ( <br />PLUMBING 3rt- t/tt#7 , <br />D MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION <br /> ~ - e..'6c....l1kJr-;c~ <br />0 GAS D ROOFING D SPECIALTY D OTHER f..., <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />BUILDER <br />SIGNATURE <br /> <br /> <br />COMPANY <br />REGISTERED <br /> <br />~~f ~0:!:()c-t~;:1 <br /> <br />License # I c &C 6'S 1/ tj''L <br /> <br />I \t N d- r~; FE~L~~I;;N I <br />License # I e C-l 3([;() { -rls3 <br /> <br /> <br />Address <br /> <br />(J-J <br />L3 U6 ~n SlGfEJ~ <br /> <br />L.ffz rL.J <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br /> <br />o <br /> <br />COMPANY I <br />REGISTERED <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />MECHANICAL <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 />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/ N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br />111111111111111 <br />RESIDENTIAL <br /> <br />License # <br />I111111111I1111111111I11111111111111111111111111111111111111111111111111111111111111111111111111I111111111111111111111111111111111 <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 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 wI Silt Fence Installed, <br />Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements mu~t meet !'empllance <br />Attach (2) sets of Engineered Plans. ..,:8 ~ \ ~ '\ <br />....PROPERTY SURVEY required for all NEW construction. \1" \\\ <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <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<1tAppllcation Only) <br />Reroofs Sewers Service Upgrades NC Fences (PloVSurvey/Footage) <br /> <br />Drlveways;-Not over Counter if on public roadways.,needs ROW <br />