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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 />\'"2 -\ 2- 07 <br /> <br /> <br />Date Received <br /> <br /> <br />WAYNe PRI(..t <br />I 37/JO tvLLe~s T~Ai.L <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Namel <br /> <br />Fee Simple Titleholder Address <br /> <br /> <br />JOB ADDRESS 37/ao CuJle'l5 Tt<4/ L 2e tl I.> .ti 3 ~- ~ LOT # ?h <br />SUBDIVISION s"v~/ tJ~K..S I PARCEL ID# 03 -- X'~;/I- CY8'O -tx)Ooo - 1J7fe,O <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED B NEW CONSTR B ADD/ALT D SIGN D MOVE D . DEMOLISH <br /> INSTALL REPAIR <br />PROPOSED USE D SFR D COMM D OTHER I <br />TYPE OF CONSTRUCTION D BLOCK D FRAME D STEEL D OTHER I <br />DESCRIPTION OF WORK -,ell' tfr+ sA,,, e.) 1'15/0.1/ euJ 3D r 6Ar j)""~nS/htec <br />BUILDING SIZE SQ FOOTAGE I 330 0 I HEIGHT I <br /> <br /> <br />'.p..II..IIII.IIII.IIII,.III..II..II..III....'II..II...111..11.........11..1111.....'.............111.....1111.11....11,..'..1111...........11...... <br /> <br />D BUILDING 1$ 79LfO I <br />D ELECTRICAL 1$ 1 <br />D PLUMBING 1$ I <br />D MECHANICAL 1$ I <br />D GAS l&L ROOFING D <br />FINISHED FLOOR ELEVATIONS I 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 />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY D OTHER <br /> <br />FLOOD ZONE AREA DYES <br /> <br />DNO <br /> <br />"'IIIPI"""'.""."II"'I"""."""IIII"I"'II11"""'1'111"""""1111."""111111""111111"111111111111""'1""'1111"'11"11"11 <br /> <br />BUILDER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <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 />Y/N <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 /> <br />Address <br /> <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) complete sets of Building Plans plus a Life Safety Page; (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 />111111111111I11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I11111111I1111111 <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. CAlC 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 (PloUSurvey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />