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<br />/, <br /> <br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br />Owner's Address :?$tz- HA-lAI'~LIC- 77R <br />Fee Simple Titleholder Namel <br /> <br /> <br /> <br />Date Received. <br /> <br />Owner's Name <br /> <br />Fee Simple Titleholder Address I ~ <br />7S 1'2- l1A.llr-e-h/TC <br /> <br />~ ~i- /( A LJJ <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />~ <br /> <br />~~t <br /> <br />NEWCONSTR ~ ADD/ALT D <br />INSTALL 0 REPAIR <br />SFR 0 COMM D <br />D BLOCK 0 FRAME D <br /> <br />'Z IV ,4;-5 ~ 7Jr, yt:.- 14M l' p"; :l t ~n""<:. <br />~ <br />I SQ FOOTAGE I <br /> <br />'7)~ <br />PARCEL 10#1 <br /> <br />LOT # <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D DEMOLISH <br /> <br />OTHER I <br />STEEL D <br />Jy ~3 f <br /> <br />WORK PROPOSED <br /> <br />OTHER I <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />HEIGHT I <br /> <br />, . . I . I r . . . . . . . . I , I . . . r." . . I . . . . . . . . . . I . . . I . I I . . . I . . . . . I . . . . I . . . . I . . . . I . . . . .., . . . . . . I . . . . I I . . . I I I . . . I I II I . . . . . . . I I I I r . . . . I I I I . . . . . ".' I I . . . . . . . . . . I I . . . <br /> <br />0 BUILDING 1$ 2'",0, VALUATION OF TOTAL CONSTRUCTION <br />0 ELECTRICAL 1$ AMP SERVICE 0 PROGRESS ENERGY D W.R.E.C. <br />0 PLUMBING 1$ <br />0 MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br />0 GAS D ROOFING 0 SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />111'"p,"III"I,""""""""I"""II'IIII"IIIII".1111'..."'.11."""..,.'...'.111."....""111'.'..11111.111'...1.'1"1.'......'1.....'.1111 <br /> <br />! <br />BUILDER <br />SIGNATURE . ~ ?5L L:4 <br />Address <br /> <br />COMPANY <br />REGISTERED <br /> <br />1I~#fc....... OiV J/c' T <br />I Y / N I FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />Y/N FEE CURRENT <br /> License # <br />Y I N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> License # <br />YI N FEE CURRENT <br /> License # <br /> <br />Y/N <br /> <br />Address <br /> <br />COMPANY <br />REGISTERED <br /> <br />PLUMBER <br />SIGNATURE <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 />COMPANY <br />REGISTERED <br /> <br />OTHER <br />SIGNATURE <br /> <br />Y/N <br /> <br />Address <br /> <br />I11111111111111 11111111111I1111111111111111111111111111I1111111111111111I111111111111111111111111111111111111111111111111111111111111111111111111 <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 />1111I11111111111I1111111111I111111111111111I11111111111II1I11111111111111I1111I11111111111111111111I11111111111I11111111111111111111111111I1111111 <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 A1C Fences (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />