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<br />81 a-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br /> <br />I <br />I <br />I <br />z. ) H ; 11 s. J PI.. '3"5 ~ t.f L. I LOT # I 9 I <br />PARCELlD#1 J ~- '::U, -;2) - aD </ 0 - 00306 ~ 0090 I <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE 0 <br /> <br />Date Received <br /> <br /> <br />Owner's Name R.- l< u r t w <br />Owner's Address 15 ~ ~ G:. S?! ~ lJ me... <br />Fee Simple Titleholder Namel <br /> <br />bt'" J <br /> <br />Fee Simple Titleholder Address I <br />Is- '3 ;2 Co SA- +$ l) M C"- br, <br />I 2 1+-1-'$ <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />JOB ADDRESS <br /> <br />I <br /> <br />~ NEW CONSTR .E23. <br />D INSTAll D <br />PROPOSED USE 0 SFR D <br />TYPE OF CONSTRUCTION 0 BLOCK 0 <br /> <br />DESCRIPTION OF WORK I C6 Y) -r r- u C- + /' 0 t'\ 0 ~ D ~C I:: <br /> <br />BUILDING SIZE It;), I X 1<1' I SQ FOOTAGE Ii \ D ~, & 3 <br /> <br />,",.11111..111...1111..11...11.......111"..111..111..'11...11..111...111'.......,.,...."...'1111.......,.,....111.......'1111...................11 <br /> <br />1$ <br /> <br />o ELECTRICAL 1$ <br /> <br />D PLUMBING 1$ <br />D MECHANICAL 1$ <br /> <br />DGAS D <br />FINISHED FLOOR ELEVATIONS I <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br />FRAME <br /> <br />~ <br /> <br />BUILDING <br /> <br />$'OO,C{j <br /> <br />D <br />D <br />D <br /> <br />DEMOLISH <br /> <br />OTHER I <br />STEEL D <br /> <br />OTHER I <br /> <br />HEIGHT ~' I( 'e '* . <br /> <br />AMP SERVICE <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />D <br /> <br />W.R.E.C <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />ROOFING <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />BUILDER <br />SIGNATURE <br /> <br />D <br />I <br /> <br />\ lU ~~ <br />532" S'Pt-fsv /')\o..1Jr~ '1-' )f~'lls/-F1 '$ s ~'-Vz.1 <br />I <br /> <br /> <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br />OTHER <br /> <br />DYES <br /> <br />DNO <br /> <br />I~ <br />I Y / N I FEE CURRENT <br />License # I <br /> <br />Y/N <br /> <br />I Y / N <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />License # <br /> <br />Y I N FEE CURRENT <br /> License # <br />Y 1 N FEE CURRENT <br /> License # <br />Y / N FEE CURRENT <br /> License # <br /> <br />Y/N <br /> <br />Y/N <br /> <br />Y/N <br /> <br />111111111111111 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 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/ 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 />1111111111111111111111111111111111111111111111111111111111111111I111111111111111111111111111111111111111111111111111111111111111111111111111111111 <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 roadways..needs ROW <br />