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<br />B13-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-78011313 <br /> <br />Date RecElived <br />1111111111 <br /> <br />Owner's Name <br /> <br /> <br /> <br />7--r1t Av~ <br /> <br />Fee Simple Titleholder Address <br /> <br />JOB ADDRESS <br /> <br />~".....<,- <br /> <br />LOT # <br /> <br />SUBDIVISION <br /> <br />I <br /> <br />D NEW CONSTR E3 <br />D INSTALL <br />DSFR D <br />D BLOCK D <br /> <br />lSe-rv'lLr;:. IAf6 YP,~~ <br /> <br />I SQ FOOTAGE I <br /> <br />WORK PROPOSED <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />DESCRIPTION OF WORK <br /> <br />PARCEL ID#I <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br />FRAME <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN 0 MOVE 0 <br /> <br />DEMOLISH <br /> <br />o <br /> <br />D OTHER <br />D STEEL 0 <br /> <br />;11 f'Vtr Ub 'IJ--~ <br /> <br />I HEIGHT I <br /> <br />OTHER I <br /> <br />I <br /> <br />I'r 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 I . . I I <br /> <br />BUILDING SIZE <br /> <br />D <br /> <br />1$ <br /> <br />rvl ELECTRICAL 1$ <br />~ . IDSD,00 <br /> <br />D PLUMBING 1$ <br /> <br />D MECHANICAL 1$ <br /> <br />D GAS 0 <br />FINISHED FLOOR ELEVATIONS I <br /> <br />BUILDING <br /> <br />D <br />I <br /> <br />ROOFING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />[2[1 <br /> <br />W.R.E.C. <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY 0 OTHER <br />FLOOD ZONE AREA DYES <br /> <br />DNO <br /> <br />'"11'111'..111'..'"11"11111'111'1111'1111'..'.."'.'.'111'1111111"1"'1."'1.1'1.1."1"111111.."...1'.'.'.1"1'...'.'11'.'11111.111111..'11..'1' <br /> <br />BUILDER <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 /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />I /ll,,/h'/'7 ~/L&/~ <br />I Y / N I FEE CURRENT I Y / N I <br /> <br />License # I fiC/3 obl3n <br /> <br />COMPANY <br />REG1STERED <br /> <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 />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 />111I11111111111 1I11111I111111111I1111I11111111111111111111111III11111111111111111111111I111111111111111I11111111111111111111111111111111111111111 <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 />III I 11I1 I I I I 11111 I I 111I11 I II I I 11I1 I 111I11 I I 11I1 I I 11I1 I I 11I11 I III I 11II I II I 1I1I111 I III I I 111I I I 111II I I I 11111I11111 I 1111111111 I I I 111111111111 I I I I I I I II <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 (PloUSurvey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />