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<br />81.3-780-0020 <br /> <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Date Received <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Namel <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Owner's Name <br /> <br />WORK PROPOSED <br /> <br />I <br />Fe.SlmPI.llll.hOld"Add'~ _ ff'f#6-!]~J ~~.~ - 'ill <br />JOB ADDRESS ~----==~~ ~ ~~~--- _ 3~ ( 1> :; T I <br /> <br />I I PARCELlD#1 oZ- Z~'2.(-OO~O -OOCoo- ~()(O <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />E3 ADD/AL T D SIGN 0 MOVE D <br />REPAIR <br />D COMM D <br />D FRAME D <br /> <br />LA" dr'~lk l ~ (:.lU"-t..../''1 d- <br /> <br />LOT # <br /> <br />SUBDIVISION <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />DEMOLISH <br /> <br />OTHER I <br />STEEL 0 <br /> <br />OTHER I <br /> <br />DESCRIPTION OF WORK <br /> <br />ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E,C, <br /> <br />D <br />~ <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />OTHER <br /> <br />~ I tJ7XJ sg' Ff- <br />~~ <br /> <br />PLUMBING <br /> <br />D <br /> <br />MECHANICAL <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />DYES <br /> <br />DNO <br /> <br /> <br /> <br /> <br />I <br />I <br />~1~d).::...1.l'i".~. - q~1-4:3..,y I <br />I FEEC~" I Y/N <br />License # ~"l'~" I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />BUILDER <br />SIGNATURE <br /> <br />Address ~ <br /> <br />~:ci;;:~';;:~~~ . <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y I N <br /> <br />, :;lD <br /> <br />License # <br /> <br />Address <br /> <br /> <br />COMPANY <br />REGISTERED <br /> <br />W;L(I~S The, <br />FEE CURRENT I Y / N I <br /> <br />License # lu~ /4. as" Od." <br /> <br />1t1~1i~~ /~~(. GA.se..- AI c <br />I Y / N I . FEE CURRENT I Y I N I <br /> <br />License # I <br /> <br />IUe"""V\i~ <br />I Y I N I <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />Address <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />Address <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />COMMERCIAL <br /> <br />Address License # <br />11111111I1111I111111111111I11111111111111I1111111111111111111111111111111111111111111111111111111111111111111I1111111111111111111111111111111111I1 <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 />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 />Attach (2) sets of Engineered Plans, <br />....PROPERTY SURVEY required for all NEW construction, <br /> <br />SIGN PERMIT <br /> <br />iii~~~t;~~~': . I I I . . . I . I I . I I I I . I I I I . I I I I I I I I I . . . I I I I I . . . . I I I I I I I I I . I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . I . . I . . . . . . . I I . . . . . . . I I I I I I I I I I I I I I <br /> <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 (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />