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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 />Date Received <br />11I11I1I1I"t <br /> <br />Owner's Name <br /> <br />Owner's Address I S 7 ~ C) C. A. L L- B Iv I:::> <br />Fee Simple Titleholder Namel <br /> <br /> <br /> <br />JOB ADDRESS <br /> <br />Fee Simple Titleholder Address I <br />157 :20C-4. <br />I <br /> <br />l-L <br /> <br />53 1 u b .. --Z e pL v .e. ~ I ni, . J-I 3 3 ~ cj .21 <br />" "PARCEL ID#f ' . <br /> <br />LOT # <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br />B NEW CONSTR B ADD/All D SIGN D MOVE D DEMOLISH <br />INSTALL REPAIR <br />D SFR D COMM D OTHER I <br />D BLOCK D FRAME D STEEL D OTHER I <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />BUILDING SIZE <br /> <br />~ . SO\..c:\ <br />HEIGHT I <br /> <br /> <br />DESCRIPTION OF WORK <br /> <br />eet"'~ DOoO~ <br />I <br /> <br /> <br />....11...1111..1111......................1............1.........1....................1....1.......1.......................................1........ <br /> <br />0- BUILDING 1$ ;:5 <br />D ELECTRICAL 1$ <br />D PLUMBING 1$ <br /> <br />D MECHANICAL 1$ <br /> <br />D GAS c=J <br />FINISHED FLOOR ELEVATIONS I <br /> <br />oo~ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />I <br />I <br />I <br />I <br />D <br />I <br /> <br />. . 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 , , PI' . . . . . . . I I I , . . , , I I I , I , . I . . , , . I I . . . . . . I I I I . . . , , . . . I . . . . . I . . . I . , I I . . . . . <br /> <br /> <br />BUILDER I rJ/ -~ ~;J1J~~ I <br />SIGNATURE ~VL <br />4$ ~. <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 />ROOFING <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />OTHER <br /> <br />DYES <br /> <br />DNO <br /> <br />Address <br /> <br /> <br />COMPANY <br />REGISTERED <br /> <br />License # <br /> <br />ELECTRICIAN <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 /> License # <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 />1I1111111111111 11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I1111111111111 <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 />11111111111111I11I11111111111I111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I1111I1111111111I <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. (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 AlC Fences (PloUSurvey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />