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<br />8'13-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax -813-780-0021 <br /> <br />Owner's Name <br /> <br />Owner'sAddress l.:r~ :2;t<L~/ <br />Fee Simple Titleholder Namel <br /> <br />tt ~ q01 <br />frIJ -7?7-S-(Y',Y <br />Owner Phone Number 11fJ~ 86 -7JS -(, b 7 <br />Owner Phone Number I <br /> <br />Date Received <br /> <br /> <br />JOB ADDRESS <br /> <br />Fee Simple Titleholder Address I <br /> <br />1---.M//.1~ <br />I <br /> <br />f!/"",.J ~ <br /> <br />PARCEL 10# <br /> <br />LOT # <br /> <br />39o()0 <br />~ <br /> <br /> <br />D NEW CONSTR D <br />D INSTALL D <br /> <br />PROPOSED USE D SFR 0 <br /> <br />TYPE OF CONSTRUCTION D BLOCK 0 <br /> <br />DESCRIPTION OF WORK I~"'m" '- &lf1rr k <br /> <br />BUILDING SIZE I I SQ FOOTAGE I HEIGHT <br />mnlTlllllllllllllll" 11111111" 1111111111111111"" 11111' '111111111" 11'11111' 111111' II" 1111 J 1111" 1111111111111111"" 11'1'1'" 'II J I'" III <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />D <br />D <br />D <br />@~6-'l.- c?~ / <br /> <br />ADD/AL T <br />REPAIR <br />COMM <br />FRAME <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />DEMOLISH <br /> <br />OTHER <br />STEEL <br /> <br />I <br />D <br /> <br />OTHER I <br /> <br />BUILDER <br />SIGNATURE <br /> <br />1$ I <br />1$ I <br />1$ I <br />l~tfa5, ~ I <br />D ROOFING 0 SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br />11111111111111111111111111111111111111111111'11111111111111111111III111I1111I111111111111111111I11111111I1111111111I11111111111111I111111111111I11 <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D BUILDING <br />D ELECTRICAL <br />D PLUMBING <br />IXJ MECHANICAL <br />D GAS <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C, <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />COMPANY <br />REGISTEREO <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />ELECTRICIAN I <br />SIGNATURE , <br /> <br />Address I <br /> <br />PLUMBER I <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y I N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br /> <br />License # <br /> <br />Address <br /> <br />{9AJ~ J::>).s~/~~CFS;~ <br />I ~ I FEE CURRENT I m)J J <br /> <br />License # I <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />YI N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />COMMERCIAL <br /> <br />Address License # <br />111111111111111111111111I11111111I1111I11111111111I111I11111I1I1III1111111111III1111111111111111111111111111111II11111I111111I11111111111111111111 <br />RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fonns; 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 />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 />Attach (2) sets of Engineered Plans. <br />....PROPERTY SURVEY required for all NEW construction. <br /> <br />SIGN PERMIT <br /> <br />DI~~~ti~~~': . . , . , , . . . , , . . . , . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . , , . . . , . , . . . . . . . , . , . . . . . . . . . . , , . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . <br /> <br />Fill oul: 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 AlC Fences (PloUSurvey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />