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<br />813,-780-0020 <br /> <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-78D-0021 <br /> <br />Date Received <br /> <br />11..1111...1 <br /> <br />Fee Simple Titleholder Name <br /> <br />I <br />I <br />I !I <br />LOT # . <br />PARCEL ID#I \ Y 7-. Lv 'L \ 0 \ I D()C:()C;;(X) )'2-d <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br /> <br />NEW CONSTR 00 ADD/ALT 0 SIGN D MOVE 0 <br />INSTALL D REPAIR <br /> <br />SFR D COMM 0 <br /> <br />BLOCK D FRAME 0 <br /> <br />Pvi V(lCY \;0oocl 'lS I <br />I I SQ FOOTAGE I I <br /> <br />TIT"IIIIIIIIII.)"'I"'I,,"'I"-II..'I))1".'II'."'.'11111111111""1111'111111111111,"'1'1'11111'111..111111111111111111111111.111111..'11111 <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Address <br /> <br />JOB ADDRESS <br /> <br />v. <br /> <br />SUBDIVISION <br /> <br />DESCRIPTION OF WORK <br /> <br />E3 <br />rn <br />o <br />I Lo' <br /> <br />DEMOLISH <br /> <br />WORK PROPOSED <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />OTHER <br />STEEL <br /> <br />I <br />D <br /> <br />OTHER I F? VI C. f - <br /> <br />BUILDING SIZE <br /> <br />HEIGHT <br /> <br />D BUILDING 1$ t:stD. bD <br />D ELECTRICAL 1$ <br />D PLUMBING 1$ <br />D MECHANICAL 1$ <br />D GAS 0 ROOFING <br /> <br />I <br />I <br />I <br />I <br />D SPECIALTY 0 OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br />1I111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I11111111111111111111111111111111111 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />BUILDER ~CLn7\C~ <br />SIGNATURE ~''^4 <br /> <br />f9/~ <br /> <br />CtDVl~ <br />FEE CURRENT I Y / N <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br />License # <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N FEE CURRENT <br /> License # <br />Y/ N FEE CURRENT <br /> License # <br />Y/ N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Addrllss <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address License # <br />1I111111111I111111111111I1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <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 w/ Silt Fence installed, <br />Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large 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 w/ Silt Fence installed, <br />Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance <br />SIGN PER.MIT Attach (2) sets of Engineered Plans. <br />....PROPERTY SURVEY required for all NEW construction. <br /> <br />....1.......1.......11..............................1.......1.....1....................................1....1.............1.11...1........11...... <br />Dlrectlon!l: <br />Fill out application completely. <br />Ownelr & Contractor sign back of application, notarized <br />If OVElr $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 />DrivE,ways-Not over Counter if on public roadways..needs ROW <br />