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<br /> <br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Date Received <br /> <br />Fee Simple Titleholder Name <br /> <br />bt L <br /> <br />j~L I q-,-l <br /> <br />Fee Simple Titleholder Address LJ);'i:Vt14 "S>. 1); ~ r q--rJ <br /> <br />138 b 5' I 'T~rl !>r, 2e I'h'l~ b..L1l5, R... 3"35'1D LOT # A <br /> <br />I (Ovll\11-r 04Ks Rv ~ PARCELID#I 35- ~ 5' "'~/-OOI() - 11600- tJlb~ <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />r=l NEW CONSTR D AD DIAL T D SIGN D MOVE D <br />D INSTALL D REPAIR <br />PROPOSED USE D SFR 0 COMM D <br />TYPE OF CONSTRUCTION D BLOCK 0 FRAME D <br /> <br />DESCRIPTION OF WORK I 5' e /tVc.r t. 'hL :j:", s/J"M I <br /> <br />BUILDING SIZE I I sa FOOTAGE I HEIGHT I <br /> <br />,',.......11....'11.......11...111..11....11'..111....11........11....11....111.........11...1111......,.........pllll.......IIII._.II...II.III.'1111 <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />8 f3 - 54b-~ "3 <br /><613 ... 7 ~ ~ - J ~D 5' <br /> <br />Owner's Address <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />DEMOLISH <br /> <br />WORK PROPOSED <br /> <br />OTHER <br />STEEL <br /> <br />I <br />D <br /> <br />OTHER I <br /> <br />D BUILDING 1$ I VALUATION OF TOTAL CONSTRUCTION <br />D ELECTRICAL 1$ I AMP SERVICE 0 PROGRESS ENERGY D W.R.E.C <br />D PLUMBING 1$ I <br />D MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION <br />D GAS D ROOFING D SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />,.'..'1111."'...'.'..111"11."'....,..,..""...."...."'...,....'.'111'.....'..."11".'1'..111"'...".."11..'....11.11'.."....."........1 <br /> <br />BUILDER <br />SIGNATURE <br /> <br />,.!#tJJ 7k:i <br /> <br />COMPANY <br />REGISTERED <br /> <br />Vwn-pr <br />I Y I N I FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />Y I N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> License # <br /> <br />Y/N <br /> <br />Address <br /> <br />COMPANY <br />REGISTERED <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />Y/N <br /> <br />Address <br /> <br />COMPANY <br />REGISTERED <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />Y/N <br /> <br />Address <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />OTHER <br />SIGNATURE <br /> <br />Address <br /> <br />1111I1111111111 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 wI Silt Fence installed, <br />Sanitary Facilities & 1 dumpster; Site Work Permit for subdivlsions/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 wI 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 />11111111111111111111111I111111111111111111111111111111111111111111111I1111111111111111111111111111111111111111111111111111111I111I11111111111111I1 <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 cqntractor) 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 (PloUSurvey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />