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<br />812:-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br />, C 16-1<... <br />C;" FrL-L < (2, LV 0 <br /> <br /> <br />Owner Phone Number <br /> <br />s-r-q.. .).R <br />7/b CJtf" ')p- <br /> <br />Date Received <br />. <br />111111111111 <br />_ Owner's Name IS HCJI<~ <br /> <br />- Owner.s Address I S- '7 2 0 <br /> <br />Fee Simple Titleholder Namel <br /> <br /> <br />Fee Simple Titleholder Address I <br /> <br /> <br />Owner Phone Number <br /> <br />~OB ADDRESS <br /> <br /><-C;-72.. 0 <br /> <br />C7 A-'-(. <br /> <br />1& '- 1/ f) 2 f P'" 'I Rrlf-f LL !., <br />I <br />I PARCEL ID#I <br /> <br />~ <br />D <br />D <br /> <br />rFc. <--?sJ1f-.t- LOT # <br /> <br />SUBDIVISION <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />DEMOLISH <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />B <br />D <br />CSZJ <br />I~~'T <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />ADD/All <br />REPAIR <br />COMM <br />FRAME <br /> <br />D <br />D <br />D <br /> <br />OTHER <br />STEEL <br /> <br />I <br />D <br /> <br />- WORK PROPOSED <br /> <br />OTHER I <br /> <br />BUILDING SIZE <br /> <br /> <br />\ <br />'f+t.:> $.')uT c!)~CR <br /> <br />sa FOOTAGE <br /> <br /> <br />-90R. p~\\J~c.Y. <br />HEIGHT I <br /> <br />-DESCRIPTION OF WORK <br /> <br />I <br />I <br />I <br />I <br />D <br />I <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br />~ fY) - Iz.-I,olo( ~\- <br /> <br />/ . ~ .---==::::::, <br /> <br />(e' \) <br /> <br />WR.E.C <br /> <br />LJ BUILDING 1$ 500 <br />D ELECTRICAL 1$ <br />D PLUMBING 1$ <br />D MECHANICAL 1$ <br />D GAS D ROOFING <br />FINISHED FLOOR ELEVATIONS I <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIAllY D OTHER <br />FLOOD ZONE AREA DYES <br /> <br />DNO <br /> <br />.... BUILDER <br /> SIGNATUR <br /> Address <br /> ELECTRICIAN <br /> SIGNATURE <br /> Address <br /> PLUMBER <br /> SIGNATURE <br /> Address <br /> MECHANICAL <br /> SIGNA lURE <br /> Address <br /> OTHER <br /> SIGNATURE <br /> Address <br /> <br /> <br />"- <br />COMPANY <br />REGISTERED <br /> <br />~~ €r:<.. <br />Y/ N I 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 />Y / N FEE CURRENT <br /> License # <br /> <br />Y/N <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y /N I. <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />111111111111I11 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 cqntractor) or Power of Attomey (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 A/C Fences (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />