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<br />813-780-0020 <br /> <br /> <br />City of Zephyrhills Permit Application <br />Building Department f) <br />ra~ <br />113 <br /> <br />Date Received <br /> <br />Owner's Name <br /> <br />Owner Phone Number <br /> <br />~er Phone Number I 7 ilI- 0 J SS' <br />Owner Phone Number I <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Name <br /> <br />Fee Simple Titleholder Address I <br /> <br />l.:3g7tfl (!ofli1+,/!Cd -olf" LfJf#'-/-; Z.ephyrJ-,il/~, FL B3:St.fJ.- I <br /> <br />I S /eep; J-h/low IGY..lI. I PARCELlD#1 O~ -~b -oU -0010- 05000 --- 003D <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />~ NEWCONSTR c=l ADD/ALT D SIGN D MOVE D <br />D INSTALL c=J REPAIR <br />PROPOSED USE D SFR D COMM D <br />TYPE OF CONSTRUCTION D BLOCK D FRAME D <br /> <br />DESCRIPTION OF WORK IXl15kJ/ VihV/ tA//hdouJ5 In <br /> <br />I S~ FOOTAGE I <br /> <br />JOB ADDRESS <br /> <br />LOT # <br /> <br />4- <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />DEMOLISH <br /> <br />OTHER I <br />STEEL D <br /> <br />OTHER I <br /> <br />BUILDING SIZE <br /> <br />e'f-/6fiYlj screeA.- roOm <br />I HEIGHT I . <br /> <br />.-.....'.'111..11'....11..11...11"1"'....111..11,........111'.11...11...........111....11..111....11.'........11.......111111...................... <br /> <br />[ZJ BUILDING 1$ I) 585 QQ. I VALUATION OF TOTAL CONSTRUCTION <br /> -' <br />D ELECTRICAL 1$ I AMP SERVICE 00 PROGRESS ENERGY D W.R.E.C. <br /> ~. <br />D PLUMBING 1$ I k ' <br />D MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION <br />D GAS D ROOFING D SPECIALTY D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS I I Ff)D ZONE AREA DYES DNO <br /> <br />11"""""'11111111""11111111111'1'11'111"""'"""""""I.(!)IIIIIIIIII'I""""IIIIIIIIIIIIIII'III'""'..."11'11111'1"11.'."...... <br /> <br />BUILDER l3ahr ~ Ii/ttm/nufn IrJC. <br />SIGNATURE '0 N FEE CURRENT N <br /> <br />License # I t6co :J-b0'77 <br /> <br />Address <br /> <br /> <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />I11111111111111 1111111I11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I11I11111111111111 <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 />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/ Slit 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 />111111111111111111I111111111I111111111111111111111111111I1111111111I11111I1111111I111111111111111111111I111111111111111111111111111111111111111111 <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 roadwaysooneeds ROW <br />