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<br />Date Received <br /> <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br />813-780-0020 <br /> <br />Owner's Name <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Nuniber I <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Name <br /> <br />Fee Simple Titleholder Address I <br /> <br />I 3 fb ~ I' ']A (y Dr. "2-#-1 (f <br /> <br />I (,~ l)erk< l<tlflft'ft PARCELID#I <br /> <br />o NEW CONSTR [=:J <br />D INSTALL D <br />PROPOSED USE D SFR D . <br />TYPE OF CONSTRUCTION D BLOCK D <br /> <br />DESCRIPTION OF WORK I ~-ey' J,..,'~ ~JfJd II <br /> <br />I SQ FOOTAGE I <br /> <br />335 'It; <br /> <br />JOB ADDRESS <br /> <br />LOTti <br /> <br />'1J.. <br /> <br />SUBDIVISION, ' <br /> <br />(OBTAINED FROM P~OPERTY TAX NOTICE) <br />SIGN 0 MOVE D DEMOLISH <br /> <br />WORK PROPOSED <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br />FRAME <br /> <br />D <br />D <br />D <br /> <br />OTHER I <br />STEEL 0 <br /> <br />OTHER I <br /> <br />BUILDING SIZE <br /> <br />HEIGHT I <br /> <br />r " 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 ",J I . I I I . I I I ~ . oJ . I I . . . I I I I I I I I t. I I I I I I . . , I . . . . . . . , <br /> <br />D BUILDING 1$ <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 />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />ROOFING <br /> <br />D <br />I <br /> <br />SPECIALTY D <br /> <br />FLOOD ZONE AREA <br /> <br />OTHER <br />DYES <br /> <br />DNO <br /> <br />1111""'.111""""".'1,"11."""",,,.,""1..,.1.,,,"'.1"'.....'11,,'.1"1"'...'1'..'111"'"'1111111111,.,...,.IIII,lli'"IIIIIIIIIIII,1111 <br /> <br />BUILDER I <br />SIGNATURE <br />Addres,s <br /> <br />~,"'" <br />I. ' ~ <br /> <br />w ,_ <br /> <br />COMPANY t//1/J1 fV <br />R,EGISTERED Y/N I FEE CURRENT Y/N <br /> License # <br />COMPANY <br />REGISTERED I Y/N FEE CURRENT Y/N <br /> License # <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />YI 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 />MECHANICAL <br />SIGNATURE <br /> <br />Y/N <br /> <br />Address <br /> <br />COMPANY <br />REGISTERED <br /> <br />OTHER <br />SIGNAtURE <br /> <br />Y/N <br /> <br />Address <br /> <br />111111111111111 1111111111111111111111111111111111111111,111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <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 subdlvlsionsnarge 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 onslte. 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 /> <br />I11111111111111111111111111 " 1111111111111111111111111111111111111111111111111 i 11111111111111111111 " 11111111111111111111I1111111 j 1 i i II i 11I1 i 11111 <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. (A1C 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 AlC Fences (PloUSurvey/Footage) <br /> <br />Driveways-Not over Counter If on public roadwaysnneeds ROW <br />