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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br />Fee Simple Titleholder Name <br /> <br /> <br /> <br />Date Received <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br />~())(\"'lA.V\ f L L <br /> <br />r~('j(5 <br /> <br />Fee Simple Titleholder Address I <br /> <br />137\31- <br />I <br /> <br />~o~v'^V> PI <br /> <br />LOT # <br /> <br />JOB ADDRESS <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />I <br />B <br />D <br />D <br /> <br />- 0 tf 60 <br /> <br />SUBDIVISION <br /> <br />DESCRIPTION OF WORK <br />BUILDING SIZE I . I SQ FOOTAGE I .3 4 iJ I HEIGHT I . I <br /> <br />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 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 <br /> <br />B <br />D <br />D <br />I <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br />FRAME <br /> <br />D <br />D <br />D <br /> <br />DEMOLISH <br /> <br />WORK PROPOSED <br /> <br />I <br />D <br /> <br />OTHER I <br /> <br />OTHER <br />STEEL <br /> <br />0 BUILDING 1$ /c[2~(00 I VALUATION OF TOTAL CONSTRUCTION <br />0 ELECTRICAL 1$ I AMP SERVICE D PROGRESS ENERGY 0 W.R.E.C <br />0 PLUMBING 1$ I <br />0 MECHANICAL ~ I VALUATION OF MECHANICAL INSTALLATION <br />0 GAS ROOFING D SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />"".,,1'1"'.""11111'."'."1.1""'"1'""1111'.."1.I""IP".",".",I'I,II,,'..,'",I'I',..."'.".."'"1,.,.'...'.11"..'........",......... <br /> <br />COMPANY <br />REGISTERED Y/N FEE CURRENT Y/N <br /> License # <br />COMPANY <br />REGISTERED I Y / N FEE CURRENT Y/N <br /> License # <br /> <br />BUILDER <br />SIGNATURE <br /> <br />Address <br /> <br />ELECTRICIAN I <br />SIGNATURE . <br /> <br />Address <br /> <br />COMPANY <br />REGISTERED <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />Y/ N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />Y / N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />II11IIIIIIIII11111111111111111111111111111111111111111II11III1IIIII111111111111111111111111111111111111111111111111111I111111111111111111111111111 <br /> <br />~ <br /> <br />I ~l> ~DX Il~t Jrrrv Y?n~ <br /> <br />COMPANY <br />REGISTERED <br /> <br />License # I <br /> <br />kJ~ ~e.f:::~.fvf (;N~ <br /> <br />License # ICe Ce) 1 9 )7 <br /> <br />Address <br /> <br />OTHER <br />SIGNATURE <br /> <br />Address <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 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 />111111111111111111111111111111111111I11111111111111111111I11111111II1111111111111111111II11111I111111111111I111111111111I111111111111111111111111I <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. (Ale 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 (PloUSurvey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />