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<br />81:1-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department -tr 11 ( 6 <br /> <br />Fax-813-780-0021 <br /> <br />\, <br /> <br /> <br />. ARks <br /> <br />Dfl-l> ~-Te;dA <br />ll~ ~i- <br /> <br /> <br />-z..H " lis <br /> <br />Owner Phone Number <61~) IS- ;)0'51 2 IJt <br />Owner Phone NumbertD)~) If/.pg,.. 35Y3 lC~ <br />Owner Phone Number I ~ I~ {{to q ~ [).;) I a ~) I <br />I <br />ZfpH L{(2.f+d 15 fl. 36S~ 2- I LOT# I f-J+e I <br />PARCELlD#lJJ - ~ ~ - D- \ ~ 0 () I D - 1"3 IDa. OCJ7DI <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />DEMOLISH <br /> <br />Date Received <br /> <br />Owner's Name <br /> <br />Owner's Address ~ 3~ <br />Fee Simple Titleholder Namel <br /> <br />JOB ADDRESS <br /> <br />Fee Simple Titleholder Address I <br /> <br />l2Y~~ <br />I~ <br /> <br />l/+h s+rQet <br />I <br /> <br />D NEW CONSTR D <br />I&J INSTALL D <br />PROPOSED USE 0 SFR D <br />TYPE OF CONSTRUCTION D BLOCK D <br /> <br />6tnl2-Aq t; 9 ~ ~ 'I. I\) - <br /> <br />BUILDING SIZE I gi)( J 0 8/.;l''x~:J - SQ FOOTAGE I C6n I HEIGHT I '/ 'Ff (). in I <br /> <br />.4.:"11""".1'111"11"""111""".'.'111"11"'11"..11..1111......'...111...111...111..."..........11,1111........11.......11111.....1.....11 <br /> <br />l&J BUILDING 1$ <6~<2. OD I VALUATION OF TOTAL CONSTRUCTION <br /> <br />ELECTRICAL 1$ I AMP SERVICE D PROGRESS ENERGY <br /> <br /> <br />1$ I <br />1$ I <br />D ROOFING D <br />FINISHED FLOOR ELEVATIONS I I <br /> <br />~ <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />ADD/All <br />REPAIR <br />COMM <br />FRAME <br /> <br /> <br />OTHER <br />STEEL <br /> <br /> <br />OTHER <br /> <br /> <br />DESCRIPTION OF WORK <br /> <br /> <br />D <br />o <br />o <br />o <br /> <br />D <br /> <br />W,R.E.C <br /> <br />PLUMBING <br /> <br />MECHANICAL <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />GAS <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />OTHER <br /> <br />DYES <br /> <br />DNO <br /> <br />BUILDER <br />SIGNATURE <br /> <br /> <br />~G <br />Y/ N I <br /> <br />1)rvNE-G <br />FEE CURRENT I Y / N <br /> <br />Address <br /> <br />License # <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y / 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 1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I11I11111111I11111 <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 />111111111111I1111111111111111111111111I11111111111111111111111111111I111111111111111111111111111111111111111111111111111111111111I111111111111111I <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 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 (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />