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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-Q021 <br /> <br />p1v~3 <br /> <br />Fee Simple Titleholder Name <br /> <br /> <br />L.. ro u. <br /> <br /> <br />Owner Phone Number <br /> <br />'12 Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Date Received <br /> <br />/' Owner's Name <br /> <br />II" Owner's Address <br /> <br />Fee Simple Titleholder Address <br /> <br />/JOB ADDRESS <br /> <br />3e!r:,.33 Se0,vhJ R1Ie.ZcJh I"Ili!ls-- R- S3~4:2 <br /> <br />LOT # <br /> <br />SUBDIVISION <br /> <br />PARCEL 10#1 <br /> <br />WORK PROPOSED <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />I <br /> <br />B <br />D <br />D <br />Put ~u. {~~{ <br /> <br />D <br /> <br />D OTHER <br />D STEEL 0 <br />b~ Rb\')f A~a ~(., ~ \tJ' k.. <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />B <br />D <br />D <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br />FRAME <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN 0 MOVE D <br /> <br />DEMOLISH <br /> <br />OTHER I <br /> <br />./ DESCRIPTION OF WORK <br /> <br /> <br /> <br />~~:~~II~~,~~~~.." 1111111' IIIIIIIIIIIIIIIIIIIIII~~ I~~~~~~'~ I~ 111I ~~~~~~, 111111," 1111111111" 11.'1111111' I" 1111111111'1 <br /> <br /> <br />0 BUILDING / <br />0 ELECTRICAL <br />0 PLUMBING <br />0 MECHANICAL <br /> <br />1$ l'-Ioo.O{) I <br />1$ I <br />1$ I <br />1$ I <br /> <br />o GAS D ROOFING D SPECIALTY D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />11111111111111111111111111111111I1111111111I11111111111111111111111111111111111111111111111111111111111111111111111111111111111111I11111I111111111 <br /> <br />BUILDER / 1J'i!1'i fJ J _ COMPANY 'I /J/~ <br />SIGNATURE , ~ ~ ~ ~h e-V REGISTERED I Y / N FEE CURRENT Y / N <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 />VALUATION OF MECHANICAL INSTALLATION <br /> <br /> License # <br />Y/N FEE CURRENT <br /> License # <br />Y/ N FEE CURRENT <br /> License # <br />Y / N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> <br />Address <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <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 />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 />1111111111111111111I111111111111111111I1111I111II11111I111111I11111111111111111111111111111111111111111111111111111111111111111111 <br />Allach (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 submillal date. Required onsite, Construction Plans, Stormwater Plans w/ Sill Fence installed, <br />Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects <br />Allach (3) sets of Building Plans; (1) set of Energy Forms. R-O-W Permit for new construction. <br />Minimum ten (10) working days after submillal 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 />Allach (2) sets of Engineered Plans. <br />....PROPERTY SURVEY required for all NEW construction. <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />DI~~~ii~~~': I I . I I I I . . I I I I I I I I I I I I I I I I I . I . . . I I . I I I I . . I . I I I I I I . . I I I . . . . I . I . I I I . I I . I . . . . I . I . I I I . I . . . I . I . . I . . I I I I I I I I I . . I . I I I . I I . . . I . . I I I I . . I I . I . I I I I I I <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 Allomey (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 (PloUSurvey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />