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<br />Owner's Name <br /> <br /> <br />?75'9 0 <br /> <br />Owner Phone Number <br /> <br />Owner Phone Nu~ber I <br /> <br />Owner Phone Number I <br /> <br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Date Received <br /> <br />JOB ADDRESS <br /> <br />I 50/;5/ T4rr 'Dr. "Z7'h/rh; I(f', R. <br /> <br />I ~1I,t1r1 Oqks f?v ~ rl( .1 <br /> <br />E3 NEW CONSTR D <br />INSTALL c.J <br />PROPOSED USE . D SFR 0 ' <br />TYPE OF CONSTRUCTION D BLOCK 0 <br /> <br />DESCRIPTION OF WORK I ~-tI V . /')/1 ~. 'I';.r04 if <br /> <br />I SQ FOOTAGE I <br /> <br />Fee Simple Titleholder Address <br /> <br />WORK PROPOSED <br /> <br />. "33'i'1() <br /> <br />PARCELID#195 - 2$"- 2l-. 60(t>-" S6b- DOOO <br />(OBTAINED FROM P~OPERTY TAX NOTICE) <br />SIGN 0 MOVE D <br /> <br />LOT # <br /> <br />1 <br /> <br />.SUBDIVISION <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br />FRAME <br /> <br />D <br />D <br />D <br /> <br />DEMOLISH <br /> <br />OTHER <br />STEEL <br /> <br />I <br />D <br /> <br />OTHER I <br /> <br />HEIGHT I <br /> <br />,....................................................'............,..........,.........................................................,.,........ <br /> <br />BUILDING SIZE <br /> <br />o BUILDING 1$ I <br /> <br /> <br />o ELECTRICAL 1$ I <br /> <br /> <br />o PLUMBING 1$ I <br /> <br /> <br />o MECHANICAL 1$ I <br /> <br /> <br />o GAS D ROOFING 0 SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br /> <br />1111'.."....,...,..,..,..,....'.1'.11.1'.111...'1."."'1'11'1:11'11"1'111'11"1'1"11'1"11"'1"'1"11"".1.....1....1'.11.11..'1...'....1.... <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />CoMPANY Ow, 'Pv- <br />~EGISTERED Y / N 1 FEE CURRENT Y/N <br /> License # <br />COMPANY <br />REGISTERED I Y / N FEE CURRENT Y/N <br /> License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y / N FEE CURRENT <br /> <br />Y/N I. <br /> <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />I.~~ <br />BUILDER <br />SIGNATURE. . <br /> <br />Addres.s i ' .. <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />Address <br /> <br />COMPANY <br />REGISTERED <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />Y / N FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />Address <br /> <br />MECHANICAL I <br />SIGNATURE <br /> <br />Address <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />OTHER <br />SIGNATURE <br /> <br />""'~,~:~" """"""""""""""""""""" """""""'" """ ! """'" """"" ~:~~~,~'" !""", '" """""'" """,,! <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 subdivislonsllarge projects <br />COMMERCIAL Attach (3) complete sets of Building Plans plus a Ufe 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 w/ 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 />111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I111111 i 1111111 t Iii II i I1I1 i 1111I <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 />Y / N FEE CURRENT <br /> <br />Y/N <br /> <br />Driveways-Not over Counter if on public roadways.;needs ROW <br />