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<br />Ei 13-780-0020 <br /> <br />j111W <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br />Date Received <br />1111111111 <br />Owner's Nlame JO V7 (} -+ 1)0 () <br /> <br />Owner.s A.ddress I 3174 t( <br /> <br />Fee Simple Titleholder Namel <br /> <br /> <br />A- !ers-e.0 <br />tm A V'f. <br /> <br /> <br />Fee Simple Titleholder Address I <br /> <br />13q~lf~ q+h A~. <br />1~4~ <br />B <br /> <br />PROPOSED USE IRJ <br />TYPE OF CONSTRUCTION D <br /> <br />DESCRIPTION OF WORK I re rOt> f <br /> <br />-?.f- <br /> <br />JOB ADDRESS <br /> <br /> LOT # <br />I PARCEL 10#/ <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br />Eij ADD/AL T D SIGN 0 MOVE D DEMOLISH <br />REPAIR <br />D COMM D OTHER I <br />D FRAME D STEEL 0 OTHER I <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />BUILDING SIZE <br /> <br /> <br />SQ FOOTAGE I <br /> <br />HEIGHT I <br /> <br />BUILDING <br /> <br />1$ <br /> <br />1$ <br /> <br />1$ <br /> <br />1$ <br /> <br />c=J GAS C88 <br />FINISHED FLOOR ELEVATIONS I <br /> <br />c=J <br />c=J <br />c=J <br />D <br /> <br />gbo 0"; <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />ROOFING <br /> <br />I <br />I <br />I <br />I <br />D <br />I <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C <br /> <br />ELECTRICAL <br /> <br />PLUMBING <br /> <br />MECHANICAL <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY D OTHER <br />FLOOD ZONE AREA DYES <br /> <br />DNO <br /> <br />"1.1..1,..""...'1.'.'11111'......."11".'11'.....,11"11111111""11111'111"""""'1111111""""'"1111',1""1""""1'1"""."'11111 <br /> <br />BUILDER <br />SIGNATURE <br /> <br />~~ <br /> <br />~~ <br />I Y I N I FEE CURRENT <br /> <br />Y/N <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br />License # <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />I Y I N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address License # <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 wI 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 />11I111111111111111111111111111111111111111111111111111111111111I1111111111111111111111111111111111111111111111111I11111111111I111I1111111111111111 <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 NC Fences (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />