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<br />813'0780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br />Date Received <br /> <br /> <br /> <br />~ Owner's Name <br /> <br />- Owner's Address I 3 ~' 31 8 <br />Fee Simple Titleholder Namel <br /> <br />Fee Simple Titleholder Address <br /> <br />_ JOB ADDRESS <br /> <br />593l;8 <br /> <br />q-tH Aw <br /> <br />LOT # <br /> <br />PARCEL ID#I <br /> <br />WORK PROPOSED <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />I <br />E3 <br />D <br />D <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN 0 MOVE 0 <br /> <br />DEMOLISH <br /> <br />SUBDIVISION <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />E3 <br />o <br />o <br />I <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br />FRAME <br /> <br />o <br /> <br />o OTHER <br />o STEEL D <br /> <br />ff2l"ce /~ d-~) I~J <br /> <br />I HEIGHT I <br /> <br />OTHER I <br /> <br />..- DESCRIPTION OF WORK <br /> <br />I <br /> <br />...11...11....11'...111............11...11.....11............11........111'...............11...1111.................'111......111.................... <br /> <br />,I LJ LJ' -f f (J f ( )'0'" f' III' f( <br />SQ FOOTAGE I <br /> <br />BUILDING SIZE <br /> <br />-0 BUILDING 1$ / S- 00 , O() I VALUATION OF TOTAL CONSTRUCTION <br />D ELECTRICAL 1$ I AMP SERVICE D PROGRESS ENERGY D W.R.E.C <br />D PLUMBING 1$ I <br />D MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION <br />D GAS 0 ROOFING D SPECIALTY 0 OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />...1111'.111.."'...'1...'....11"....."..'...111.11111.'1"11111'.11.'1'......1..........'..'1'11..'11..'."'..1..111.11"11.."...........,.... <br /> <br />/-c/ <br />/., ,,/ <br /> <br />S>~ <br /> <br />/)-';'-1 JecVlt'I f. ..J/ <br />y I (..Jlo- ;;:, ofr\ d( S <br /> <br />COMPANY <br />REGISTERED <br /> <br />/rlhf' ~t.Vl1e f <br />_ Y / N FEE CURRENT <br /> <br />Y/N <br /> <br />~ BUILDER <br />SIGNATURE <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />'I Y / N FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />Y / N FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />OTHER <br />SIGNATURE <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <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 subdivisionsllarge 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 />11111I1111I1111111111111111111111111111111111111111111111111111111111111111111I1111111111111111111111111111111111111111111111111111111111111111111 <br />Directions: <br />Fill oul. 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 of Application Only) <br />Reroofs Sewers Service Upgrades Ale Fences (PloUSurvey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />