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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />*/~~g <br /> <br />Fax-813-780-0021 <br /> <br />Date Received <br /> <br /> <br />/~ (-, <br /> <br />~ .J.J...- <br />P; <br />Owner's Address 13,? 77 t- f/ u / c " IV <br />Fee Simple Titleholder Namel hI / / F j. e ("( <br /> <br />Owner's Name <br /> <br />I <br />C J rL >~ <br /> <br />?.-. ::rc, /v \' J <br /> <br />3 g ~) 'I " <br /> <br />t/v/cc/V <br /> <br />Fee Simple Titleholder Address <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br />FRAME <br /> <br />LOT # Ih1 <br /> <br />PARCELlD#1 02- 2/n.qJ - ~l /)-r:rocm--- Or/a <br />(OBTAIN~OM PROPERTY TAX NOTICE) <br />D SIGN D MOVE D DEMOLISH <br /> <br />D <br />D <br /> <br />I' , <br />{ , "...<I-e... <br />, I <br /> <br />JOB ADDRESS <br /> <br />/ I <br /> <br />I ( <br /> <br />OTHER I <br />STEEL D <br />N2 W /V\ ~~-&,L ~~)c., -r- IJ~ ~~ <br />- ,-....-- . <br /> <br />BUILDING SIZE I /'/.oj,x ~ () I SQ FOOTAGE I HEIGHT I . <br /> <br />'.11...1111....11............11.'.11...111.....11,.......111...11.....11...11111........,..'.........,.......11111,........,11..................... <br /> <br />D c::7 1$ ;t!/?? (){),() 0 <br /> <br />D ELECTRICAL 1$ <br /> <br />D PLUMBING 1$ <br /> <br />D MECHANICAL 1$ <br /> <br />D GAS [Z] <br /> <br />J,/;//",,) -e <br /> <br />f1j <br /> <br />PROPOSED USE Q <br />TYPE OF CONSTRUCTION d <br /> <br />DESCRIPTION OF WORK I <br /> <br />WORK PROPOSED <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />l~ r ,,' ~, e I <br /> <br />E3 <br />D <br />D <br /> <br />SUBDIVISION <br /> <br />OTHER 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 />~ /Yl-eev ~C. d""rt <br />....... J(U1JJ Sf::.4un <br /> <br />ROOFING <br /> <br />D <br /> <br />~CIALTY D <br />{J~DZONE AREA <br /> <br />OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br /> <br />DYES <br /> <br />DNO <br /> <br />BUILDER <br />SIGNATURE <br /> <br />'\ <br />;,::-!(,"V . <br /> <br />h () /J1 e.- (J W'rver <br />YI N I FEE CURRENT I Y/N I <br /> <br />Address <br /> <br />Ie"' <br /> <br />License # <br /> <br />ELECTRICIAN <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 />Y/N FEE CURRENT <br /> License # <br /> <br />Y/N <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 />111111111111111 I1111111111111111111111111111111111I11111111111111111111111111111111111111111111111111111111111111111111111111II111111111111111111 <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 subdivisionsllarge 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 />11111111111111111111I111111111I11111111111111111111111I1I1111I111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <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 author/zing same <br /> <br />OVER THE COUNTER PERMITTING (Front of Application Only) <br />Reroofs Sewers Service Upgrades NC Fences (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />