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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br /> <br />Fax-813-780-0021 <br /> <br />Date Received <br /> <br />11...11111. <br /> <br />Owner'sName lru- ~E LT <br />Owner's Address I r D 9l;L 5~'1b S~ . ~.f'I\.pIR. T 01' fct.cL i=L. <br />Fee Simple Titleholder Namel <br /> <br />Owner Phone Number <br /> <br />71 ~\ 1wner Phone Number I <br />I Owner Phone Number I <br /> <br />JOB ADDRESS <br /> <br />Fee Simple Titleholder Address I <br /> <br />151"-t~ ~\oroo\~ St. <br />IT~ lANG M.oei~ <br /> <br />2ephL-11l-\1\b R... ~3'9i:L..; I <br /> <br />PARCELlD#lla.~.~. C)~a. c:olro.OoOO <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />LOT # <br /> <br />SUBDIVISION <br /> <br />I <br /> <br />D NEW CONSTR 0 <br />D INSTALL ~ <br />DSFR 0 <br />D BLOCK 0 <br /> <br />~j<- =\ ~ 5""'::l ~ Cc,^ 1 <br /> <br />I S'Q FOOTAGE I <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br />FRAME <br /> <br />D <br />D <br />D <br /> <br />DEMOLISH <br /> <br />WORK PROPOSED <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />OTHER I <br />STEEL D <br /> <br />OTHER I <br /> <br />I <br />I <br /> <br />I}e.-u"">-,~ <br /> <br />DESCRIPTION OF WORK <br /> <br />ofrtu <br /> <br />,"<.N,; · r'f'" ~ <L] <br />HEIGHT <br /> <br />BUILDING SIZE <br /> <br />11111111111111111'11111111111111111111111"11111111'"1111'111111111111111111111111111111111111111111"'1111111111111111111111111'1'11111111111111 <br /> <br />1$ I <br />1$ I <br />1$ I <br />1$ I <br /> <br />D GAS D ROOFING 0 SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I11111111111111111111111111111111111111111111111 <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I, <br /> <br />D BUILDING <br />~ ELECTRICAL <br />D PLUMBING <br />D MECHANICAL <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br />L'OO <br /> <br />~ <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C, <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />BUILDER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />ELECTRICIARk~ ~ <br />SIGNATURE <br /> <br />Address <br /> <br />'FO B~ 15101}.. 74hl.(~itL", <br /> <br />PLUMBER <br />SIGNATURE: <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y / N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br />111111111111111 <br />RESIDENTIAL <br /> <br />License # <br />11111111111I1111111111I11111111111111111111111111111111111111111111111111I1111I111111111111111111111111I1111111111111111111I11111I <br />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 />Attach (3) 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 all new projects. All commercial requirements must meet compliance <br />Attach (2) sets of Engineered Plans. <br />....PROPERTY SURVEY required for all NEW construction. <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Dj~~~ii~~~': . . . 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 . . . . 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 I I . . I I I . I I I I I I . I <br /> <br />Fill out application completely. <br />Owner 80. 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 NC Fences (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on pUblic roadways..needs ROW <br />