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<br />813-780-0020 <br /> <br />Date Received <br /> <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br />jO -'1 <br /> <br /> <br />Owner's Name -r <br />I~~~t-"c odks.tv .3'1$ba.d..."GT~uJ~ <br />Owner's Address ~~ rA. Ilf ~I . 33['-/.;2 . <br /> <br />Fee Simple Titleholder Namel <br /> <br />__Own~LPhqll!LNYmJ:!!lJ. <br />T--~wner Phone Number I <br /> <br />I Owner Phone Number I <br /> <br />Fee Simple Titleholder Address I --. <br /> <br />r;$ /f:t2:i . J-! tV?d,~ <br /> <br />(2i ~ro1? <br /> <br />D ADD/ALT 0 <br />D REPAIR <br />D COMM 0 <br />D FRAME 0 <br /> <br />. I LOT # I;} . I <br /> <br />\rh ..-!-' 0 (~'t"?-~- 2(, ~ 21 I <br />' I\d~'d Ie:.. . aK'i _ ~soV' C :;\;. ,<:~)~il) <br />(OBTAINED FROM PROPERTY TAX NOTIC~) t L~ C. <br />SIGN D MOVE 0 DEMOLISH <br /> <br />El <br /> <br />PROPOSED USE 0 <br />TYPE OF CONSTRUCTION 0 <br /> <br />DESCRIPTION OF WORK I <br /> <br />BUILDING SIZE It," X g- I I SQ FOOTAGE I if F" HEIGHT I ~ + T <br /> <br />~OA""I""""""""""""""""""""""'"...,.....,....,."...........,.....,....,..............."'.....1...'..."".",..,,,.,. <br /> <br />lJLJ BUILDING 1$ t.5 ~ t? () } VALUATION OF TOTAL CONSTRUCTION <br />ELECTRICAL 1$ AMP SERVICE D PROGRESS ENERGY <br /> <br />1$ <br /> <br />1$ <br /> <br />c=J GAS c=J <br />FINISHED FLOOR ELEVATIONS I <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />I <br />D <br /> <br />OTHER <br />STEEL <br /> <br />OTHER I <br /> <br />~'5~ <br /> <br /> <br />c=J <br />c=J <br /> <br />PLUMBING <br /> <br />c=J <br /> <br />MECHANICAL <br /> <br />ROOFING <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />.~ <br /> <br />SPECIALTY c=J <br />FLOOD ZONE AREA <br /> <br />OTHER <br /> <br />DYES <br /> <br />DNO <br /> <br />BUILDER <br />SIGNATURE <br /> <br />Address <br /> <br />COMPANY <br />REGISTERED <br /> <br />Iv/ 0 &H1 LA/ . <br />I Y I N I FEE CURRENT <br /> <br />License # I <br /> <br />Y/N <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />I Y I N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Y I N <br /> <br />FEE CURRENT <br /> <br />Address <br /> <br />License # <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />111111111111111 111I1111I111111111111111I11111111111111111111111111111111111111111111111111111111111111111111I1111111111111111111111111111111I1111 <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 wI Silt Fence installed, <br />Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large 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 />1111111111111I1111111I1111I111111111111111111111111111111I111111111111I11111111111111111111I11111111111111111111111111I111111111111111111111111111 <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 AlC Fences (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />