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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-8'.3-780-0021 <br /> <br /> <br />[late Rec~ived <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Name <br /> <br />Fee Simple Titleholder Address I <br /> <br />I LJ gZ8' <br />It-n-tl ORb 5 <br /> <br />g'))' s-T - urynl\:((~ FL ?~';;;2. ~ LO," I ~~ <br /> <br />t9'Df'l':lf'6 <7 [ PARCELI..;<I 2.. h z- '0 / tJ 0/- QOt! / . <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />o SIGN 0 MOVE 0 <br /> <br />o <br />o <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLO <br /> <br />DEMOLISH <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />DESCRIPTION OF WORK <br /> <br /> <br />WORK PROPOSED <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />BUILDING SIZE I I HEIGHT <br /> <br />D'" 0 0 ~~::~;~~ 0...' 0 0 0 oi~/; oj: ~;...; ~.. o. 0 0 0 0 ~~~~~;~~ .~; ~~~~~ ~~~~~~~~,~~o"" 0 0 0 0 0 0'" 0...'.. 0 0' 0"'" 0 0 0......., , <br /> <br />o ELECTRICAL 1$ AMP SERVICE D PROGRESS ENERGY D W.R.E.C, <br /> <br />o PLUMBING 1$ <br /> <br />o MECHANICAL 1$ <br /> <br />o GAS D <br />FINISHED FLOOR ELEVATIONS I <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />p/G~./ <br />) fL.b tye <br /> <br />ROOFING <br /> <br />D <br />I <br /> <br />SPECIALTY D <br /> <br />FLOOD ZONE AREA <br /> <br />OTHER <br /> <br />DYES <br /> <br />DNO <br /> <br />I It. . . . , , I I I . . , , ~ . 'I I I . P . I I . , I I I I I , I I I I I , . , . . I . I , , I , I I I I P t I I , , . I I , . . I . I , I I . I I , . , . , , I I . I , I I . I , I . I I . . I r r I . . . . I 1 I . . . . . I , . I I I I , . . I . , I I , I t I I I I I I I I , I I I I <br /> <br />~~+/~CU::~L I Y/N I <br /> <br />License # ~cJ 5"og7~9 <br /> <br />Address <br /> <br />ILav f)~ftM- <br /> <br />Cf'?J7 W, P5Bor,.J€/)ve --(2i""/4. +4 <br />I <br />, I COMPANY <br />REGISTERED <br />I <br /> <br />COMPANY <br />REGISTERED <br /> <br />BUILDER <br />SIGNATURE <br /> <br />([)). ELECTRICIAN <br />'P SIGNATURE <br /> <br />Y/N <br /> <br />Address <br /> <br />COMPANY <br />REGISTERED <br /> <br />PLUMBER <br />SIGNATURE <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 /> <br />111111111111111 1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <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 />11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <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. (A1C 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 />