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<br />City of Zephyrhills Permit Application <br />Building Department <br />p~O 1&rt1(f~V6 <br />Phone Contact for Permitting <br /> <br /> <br />813-780-0020 <br /> <br />Date Received <br /> <br />Owner's 'Name <br /> <br />Sa vY1P_ <br /> <br />I.q,^-u ..... I ,"!'U. ~~_., <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Fee Simple Titleholder Address I ,Sa me <br />35/ ~ Tbar vna. <br /> <br />I EiYPfald Po/ti;~ <br /> <br />~ <br /> <br />PROPOSED USE D <br />TYPE OF CONSTRUCTION D <br /> <br />DESCRIPTION OF WORK I L-dl1a) + &reeh W'fii <br /> <br />BUILDING SIZE 11:2>'- '-1:;2.. I SQ FOOTAGE I ~ HEIGHT I <br /> <br />1'1 II""" I I I" I" I II"'. I' I . I I' I..... I" I' 1.11" I'" 1'1 I" 1.1:.. ,.1:-::: II':, 11.11.' I.... I...... I'" I'" 1'1' 1.11 1'1" III III'" I" II . to., I' I" I, III <br /> <br />o BUILDING 1$ I co I <br />. ~6o() - . <br />D ELECTRICAL 1$ I <br /> <br />o PLUMBING 1$ I <br /> <br />D MECHANICAL 1$ I <br /> <br />o GAS D ROOFING 0 SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES ~O <br /> <br />~~;;~~' "'~"" ""'"'''''''''' ""n' n..~~;;;. "i~~ Jt~~"~'~;"" "I <br /> <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br />FRAME <br /> <br />D <br />D <br />D <br /> <br />DEMOLISH <br /> <br />SIGN <br /> <br />I <br />D <br /> <br />OTHER <br />STEEL <br /> <br />OTHER I <br /> <br />AMP SERVICE <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />PROGRESS ENERGY <br /> <br />17,1~~ ~ <br />I <br /> <br />o <br /> <br />rtJ <br /> <br />W.R.E.C, <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />NOt,~ . <br /> <br />Address <br /> <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />Address <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br />License # I 17 /a...- <br /> <br />(f(~ -7!i;.!!cfy~ <br /> <br />License # I 11 / ~ <br />fII::, -Mlr7dL J: ~~ <br />~y; N I FEE CURRENT I Y IN <br />License # II? /a- <br /> <br />YI N <br /> <br />YIN <br /> <br />FEE CURRENT <br /> <br />License # <br /> <br />YI N <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />License # <br /> <br />I1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <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 onslte, 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 />11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 i 1111111111I11I11I i 11111111 <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 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 (PloVSurvey/Footage) <br /> <br />Driveways-Not over Counter If on public roadways..needs ROW <br />