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<br />Date Received <br /> <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br />813-780-0020 <br /> <br />61ft <br /> <br />111111...11 <br /> <br />.- <br />Owner's Name / ()ff) <br /> <br />Owner's Address I b; 9 s I <br />Fee Simple Titleholder Namel <br /> <br />iJL'.7/1U5 341'2 Owner Phone Number <br />I Owner Phone Number I <br /> <br />Fee Simple Titleholder Address I <br /> <br />I ~~I .5gt/& tJ/!J{5 ilL'. <br /> <br />I J7tVI!12 O/;lZ.f I <br /> <br />D NEW CONSTR [:KJ <br />D INSTALL D <br />PROPOSED USE D SFR D <br />TYPE OF CONSTRUCTION D BLOCK [g] <br /> <br />DESCRIPTION OF WORK I file /.A/ ;J;7E/}/;/ 1200/77 <br /> <br />&3 J; SQFOOTAGE s;;J'~ <br /> <br />1$ ..Jfi; CPO, ~ <br /> <br />D ELECTRICAL 1$ ~5: &0 <br /> <br />D PLUMBING 1$ 3J~ U <br /> <br />D MECHANICAL 1$ ~ t>D <br /> <br />D GAS ~ <br />FINISHED FLOOR ELEVATIONS I <br /> <br />ZE//I/Y//I&f /zC .E..>~2.. I <br />PARCELlD#1 O:?;?t;;?/ttJl ;2tJotJOt::J /~ b'CJ <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE ~ <br /> <br />JOB ADDRESS <br /> <br />LOT # <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />ADD/AL T <br />REPAIR <br />COMM <br />FRAME <br /> <br />D <br />D <br />D <br /> <br />DEMOLISH <br /> <br />OTHER <br />STEEL <br /> <br />I <br />D <br /> <br />OTHER I StJ~ /UoH/ <br /> <br />BUILDING SIZE <br /> <br /> <br />HEIGHT I <br /> <br />091/ <br /> <br />[X] <br /> <br />BUILDING <br /> <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />WR.E.C. <br /> <br />ROOFING <br /> <br />BUILDER <br />SIGNATURE <br /> <br />FEE CURRENT <br /> <br />Address <br /> <br />-;lr License # I d~cJ.57113 <br />l4f1~/l{ ~~Zf~~SN 1/ <br /> <br />License # I E.C- 13 () [) I 3 i.'.3 <br /> <br />Jl/l/?J$4;y. ./ <br />FEE CURRENT I Y I N <br /> <br />License # I OJ::'!! tl <br /> <br />I iJf<<~N FE~!T <br /> <br /> <br />License # I <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />I/~#d> <br />Y I N I <br /> <br />I <br />;225?J <br /> <br />Address <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />Y/N <br /> <br />Address <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 License # <br /> <br />11I1111I111111111111111111I1111111111111111I11111111111I1111111111II1111111111111111111I11111111111111111111I11I1111111111111111111111111111111111 <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 onsile, Construction Plans, Stormwater Plans wI Silt Fence installed, <br />Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisionsllarge projects <br />COMMERCIAL 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 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 /> <br />DI~~~ti~~~': 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 & 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 />