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<br />8113-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />BUildin~ Department <br /> <br />Fax-813-780-0021 <br /> <br />Date Received <br />11111111111 <br /> <br /> <br />I <br />I <br />Phone Contct for Permitting <br /> <br /> <br />Owner's Name <br /> <br />So..;-tlt-. Ave.. <br /> <br />Fee Simple Titleholder Address <br /> <br />I <br /> <br />I P~RCEL 10#1 <br />I <br />o AqD/ALT D <br />o R'lPAIR <br />c==J C~MM c=J OTHER <br />c==J F~AME c=J STEEL <br /> <br />W\of\J'i)\.~J j'1'"2.~ ~(SIl..Q. + <br /> <br />I I SQ FOOTAGE I I HEIGHT I I <br /> <br />p.,.......'_p..III..III'.III.......'....III....II..111...111'11,....11..1..1111..111...111...111..1111.'..'....11111.......1111".................... <br /> <br />D BUILDING 1$ II, n ~ VALUAtiON OF TOTAL CONSTRUCTION <br />D ELECTRICAL 1$ AMP S~RVICE c==J PROGRESS ENERGY D W,R.E,C. <br /> <br />D PLUMBING 1$ <br /> <br />D MECHANICAL 1$ <br /> <br />D GAS c=J ROOFING D S ECIAL TY c=J OTHER <br /> <br />FINISHED FLOOR ELEVATIONS I I FLjOD ZONE AREA DYES DNO <br /> <br />11111'1111"11111111""""""'11"11"'1'111"'1111'111.."'...,'.'...'tf'."'....III'."".."'IIIIIIII"."""111""""'1111111'1"1""'1 <br /> <br />BUILDER -r ~ 2> -~ 1 ~S- COMPANY Sw.efl.5o....... Cc.,,>if..vcf;Cl"\ . <br />SIGNATURE REGISTERED Y 1 N FEE CURRENT Y 1 N <br /> <br />JOB ADDRESS <br /> <br />3 gL{c'i <br /> <br />. S"..dl,. <br /> <br />A'VI(. <br /> <br />LOT # <br /> <br />SUBDIVISION <br /> <br />l4..\-'-b'- LI- 00/0,- 01000- DOtS" <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />B <br />w <br />c=J <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />DEMOLISH <br /> <br />WORK PROPOSED <br /> <br />DESCRIPTION OF WORK <br /> <br /> <br />I <br />D <br />n & eo /' <br /> <br />OTHER I <br /> <br />S rl e J~I' 5 ( Le <br /> <br />BUILDING SIZE <br /> <br />"'. <br /> <br />H'M~ <br /> <br />h,.ve, <br /> <br /> <br /> <br />Address <br /> <br />ELECTRICIAN I <br />SIGNATURE <br /> <br />Address I <br /> <br />PLUMBER I <br />SIGNATURE <br /> <br />Address I <br /> <br />MECHANICAL I <br />SIGNATURE <br /> <br />Address I <br /> <br />OTHER I <br />SIGNATURE <br /> <br />Address I License # <br />I <br />~~~II~I~~I;I~~IIII" ~t~~~~I;~)1 ~;~; ~I~~~I;I(~\I~~;~ ~~I~~;I~:~~'~II~~~;I ;~; ~~'l~: ~~I~r~: ~~~:; ~_~~~ ~~:~:tl;~: ~~~ ~~~~:r~~til~~: 11111111111.11.1..111111 <br /> <br />Minimum ten (10) working days after submittal date, ~equired onsite, Construction Plans. Stormwater Plans wi Silt Fence installed. <br />Sanitary Facilities & 1 dumpster; Site Work Permit for $Ubdivislons/large projects <br />Attach (3) complete sets of Building Plans plus a Life ~afety 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/ Sill Fence installed, <br />Sanitary Facilities & 1 dumpster. Site Work Permit for ~II new projects. All commercial requirements must meet compliance <br />SIGN PERMIT Attach (2) sets of Engineered Plans. I <br />*"'PROPERTY SURVEY required for all NEW const~ction. <br />11111111111111111111111111111111111111111I1111111111111111111111111111111111111111111111111111111.11111111111111111I111111111111111111111111111111 <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. (Ale upgrades over $5000) <br /> <br />** Agent (for the c()ntractor) or Power of Attorney (for the owner) would bj someone with notarized letter from owner authorizing same <br /> <br />OVER THE COUNTER PERMITTING (Front of Application Only) , <br />Reroofs Sewers Service Upgrades AlC Fences (Plot/Survey/Footage) <br />I <br /> <br />~27o <br /> <br /># 7 'L <br /> <br />I i <br />I <br />II <br />I <br /> <br />License # <br /> <br />I Cc. C 1)1) )<-{)' 1 <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y I N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> License # <br />Y/ N FEE CURRENT <br /> License # <br />Y 1 N FEE CURRENT <br /> <br />Y/N <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />I <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />COMMERCIAL <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />