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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br /><( <br /> <br />Owner's Name <br /> <br /> <br />Owner's Address <br /> <br />Date Received <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br /> <br />~) L.Lll>1A ,J~~A l.7l <br /> <br />1..1,& <br /> <br />/271:,4-rE. ZCfll <br /> <br />e;,tJ; ILL S ft.. "335 z. <br /> <br />PARCELlD#1 /0 "21>-2/. Oo;l.O-01X>()O -0::> 30 <br />.~ (OBTAINED FROM PROPERTY ,TAX NOTICE) <br />ADD/ALT ~ SIGN D MOVE 0 DEMOLISH <br />REPAIR <br />COMM ~ <br />FRAME 0 <br /> <br />Owner Phone Number <br /> <br />Owner Phone Numberd813 ) <br />Owner Phone Number I <br /> <br />788- t/f3Lf~ <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br /> <br />I <br />D <br /> <br />OTHER I <br /> <br />OTHER <br />STEEL <br /> <br />DESCRIPTION OF WORK /HSrItJL F/I7E tOa,rs 'W'f)-/.; ,Fi.. rA-N v/I?E we.t'/'" ,Glfp Ff/&- <br />BUILDING SIZE 1-41 y...,1 i I SQ FOOTAGE I I HEIGHT I . I <br /> <br />11...II.....I...'llllrl~:-:I.pll...'II......II...I.I..I,.........111...111......'....111..111........111..........11.......1111.'.....111111.111.. <br /> <br />D BUILDING 1$ ("""'I VALUATION OF TOTAL CONSTRUCTION <br />l:S1~. <br />D ELECTRICAL 1$ <br /> <br />D PLUMBING 1$ <br />D MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> <br />D GAS 0 ROOFING D SPECIALTY 0 OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br /> <br />11'........1'1.'...111...'.11..'...1'1'.......11'1'1.....II...',I;;l'".'V1V.....I..'I.'.'.I......I.....II".....I....1.'..11.....11...........'11' <br /> <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />~~~-s~fr:por _ <br />t0DC / <br />r-'/m- 21 (3(cc-s <br /> <br />BUILDER <br />SIGNATURE <br /> <br />{lid <br /> <br />Address Gill (" It T~ 6'1 7;;; ('; /IJS 11 ;r3'cf""#1. License # <br /> <br />~~~~~NI~~~gi~~.O;~::~ I\T~/~J.I":EC"~ I <br /> <br />Address ~_~_ I License # Ice 00{).:{S-7 d <br /> <br />I <br /> <br /> <br /> <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />OTHER <br />SIGNATURE <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />111111111111111 1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <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 subdivisionsllarge 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 w/ 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 />111I111111111I1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I1111111111111111111 <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. (A/C 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 (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br /> <br />" <br /> <br />'''4 <br />