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<br /> <br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Date Received <br /> <br /> <br />cl< <br />c+. <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Namel <br /> <br />faG> '5 (Je/2. <br />, <br /> <br />D NEW CONSTR 1.;>< I <br />D INSTALL <br />PROPOSED USE 0 SFR D <br />TYPE OF CONSTRUCTION 0 BLOCK D <br /> <br />DESCRIPTION OF WORK I Ch4.vje Oc/I- .I)~ <br /> <br />BUILDING SIZE I I SQ FOOTAGE I HEIGHT <br /> <br />'.'...11....'.......11'............111.........111....11..11...111...111...111.....11...11..'"111....'111........1111.......111111.......111111111111 <br /> <br />1$ I <br />1$ I <br />1$ I <br /> <br />~ MECHANICAL 1$ 5' ;;( ~ 0 .a CJ I <br /> <br />D GAS 0 ROOFING D SPECIALTY 0 OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br /> <br />, I I . , . I I II . I II , I I I , I I . , , I I I , , I I , . I , I . . , , I I It' , . I 1 . . . I I . . . , , . I I . ~ I , . I I , , , . , . I . I , . . I t I . . , I . , . . I I . I I , . I I II , I" I I I I . . I . . I , . I . , . . , . . I , , I I , I I I I , I I , I I I , I I <br /> <br />Fee Simple Titleholder Address <br /> <br />JOB ADDRESS <br /> <br />s (0;< cf <br /> <br />P/2C7S <br /> <br /> <br />C-f-- <br />PARCEL ID#I <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br />FRAME <br /> <br />3' <br /> <br />LOT # <br /> <br />I J - J. & - J I - 0] i 0 - DCXJOD . 0750 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE 0 <br /> <br />o <br />o <br />o <br />fbt0 <br /> <br />DEMOLISH <br /> <br />I <br />D <br /> <br />OTHER <br />STEEL <br /> <br />OTHER I <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />D <br />D <br /> <br />BUILDING <br /> <br />ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />PLUMBING <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />BUILDER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br />~I~~~~~I~:L~ 0-yL- <br /> <br />Address &Jo", W. L-,.-.e bacJ (" f)ve <br /> <br />COMPANY <br />REGISTERED <br /> <br />IA-w> <br /> <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br />D <br /> <br />D <br /> <br />W.R.E.C <br /> <br />~CY~~ <br /> <br />Y I N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />Y I N <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />License # <br /> <br />Y/N <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />License # <br /> <br />YIILGIO I-i-l-i f- fI; r2 <br />~ Y I N I F~ CURRENT I <br /> <br />License # I <br /> <br />Y/N <br /> <br />Y/N <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />License # <br /> <br />I111I111111111111111111111111111111111111111111111111111111I1111111111111111111111111111111111111111111111111111I111111111111111111111111111111111 <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 wI 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 wI 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 />11111I111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111!111111111111111! <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 cqntractor) 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 roadwaysooneeds ROW <br />