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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 />Owner's Name <br /> <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Date Received <br /> <br />Fee Simple TiUeholder Address <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />E3 <br />D <br />D <br />ladd <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />AD DIAL T <br />REPAIR <br />COMM <br />FRAME <br /> <br />SIGN <br /> <br />MOVE D <br /> <br />DEMOLISH <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />OTHER I <br />STEEL 0 <br /> <br />OTHER I <br /> <br />New <br />I <br /> <br />BUllD~r6 rI 1$ 770 . 0 D <br /> <br />D ELECTRICAL 1$ <br /> <br />D PLUMBING 1$ <br /> <br />D MECHANICAL 1$ <br /> <br />D GAS D <br />FINISHED FLOOR ELEVATIONS I <br /> <br />fc.J eXisTING- fb(e Sf{j-IV <br />I HEIGHT I I <br /> <br />l.l:l:L........lliL...........llL~ tl1lllil:J:l:lmllilll:1UI111~lilllliItltl11 Utmtm llliL~l!litl:ltltltUlliJ:I:I:lmll <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />LLl!tt!llitImLUJ.;U <br /> <br />UlIl <br /> <br />- <br /> <br />~ <br /> <br />l~lUl:tl:mmttlJlIitltltl#! <br /> <br />ROOFING <br /> <br />I <br />I <br />I <br />I <br />D <br />I <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br /> <br /> <br />SPECIALTY D OTHER <br /> <br />FLOOD ZONE AREA DYES DNO <br />r <br /> <br />BUILDER I ~06e~ S(~N cot<:/' <br />SIGNATURE ~ FEE CURRENT IaL!:LJ <br />Address I )01 oS, L(>Y'f1(;W Ave. JJ'(~XSIIIl.Le R..~Y&oJ License # IE'S CCvo <if 7 <br />i . ~ <br />ELECTRICIAN ~ OCOMPANY IA~~ S/6111 ~ <br />SIGNATURE REGISTERED N FEE CURRENT IN <br />Address k J License # I tI Dan Y I 7 <br /> <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED L..Y..!.lU FEE CURRENT l...Y.L!:U <br /> License # <br />COMPANY <br />REGISTERED L..Y..!.lU FEE CURRENT l...Y.L!:U <br /> License # <br />COMPANY <br />REGISTERED L..Y..!.lU FEE CURRENT l...Y.L!:U <br /> License # <br /> <br />Address <br /> <br />MECHANICAL I <br />SIGNATURE <br /> <br />Address I <br /> <br />OTHER I <br />SIGNATURE <br /> <br />Address I <br /> <br />RESIDENTIAL <br /> <br />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 ons~e. Construction Plans. Stormwater Plans wi Si~ Fence installed, <br />Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisionsllarge projects <br />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 wi sm Fence installed, <br />Sanitary Facilities & 1 dumpster. S~e Work Permit lor 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 />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Directions: <br />Fill out application completely. <br /> <br />~:~ :2~~~~r:~':t~~no~~~:;::~:;~t ~o:~~. (AlC upgrades over $5000) i Ii~ I \J II i ;u.' ;-'~l. i\ <br /> <br />Agent (for the contractor) or Power of Attomey (for the owner) would be someone w~h notarized letter from oWn.r ~ttt5riZing- saiiie I I <br />OVER THE COUNTER PERMITTING (Front of Application Only) l .., . FEB 1 3 2008 i, :. <br />~~i~:aYS-Not o::~~unter if :;~:cu~~:::s..needs ~gw Fences (PlotlSurveylFootage) i.\ L .._~_.......; <br /> <br /> <br />. Cit~ of ZCJlbyrhill. <br /> <br />t..._. _......"~~'~n~.___'" m~_. ...,... ,,~.~,.-~~< ...'.... ._..... .._- _.~. ., <br />