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<br />ll13-780-0020 <br /> <br />Date Received <br />1111111111 <br /> <br />Owner's Name <br /> <br /> <br />City of Zephyrhills Permit Application. <br />Building Department .4:J:: 11f.p ( <br /> <br />Fax-813-780-0021 <br /> <br /> <br />Owner.s Address <br /> <br />Fee Simple Titleholder Namel <br /> <br />JOB ADDRESS <br /> <br />Fee Simple Titleholder Address I <br /> <br />I ~D::l- <br />I <br /> <br />/8~.sT. <br /> <br />LOT # <br /> <br />I PARCEL 10#1/1., U - 2(- 6 01 o-treao - O('fo <br />~ (OBTAINED FROM PROPERTY TAX NOTICE) <br />D NEW CONSTR ADD/AL T D SIGN D MOVE D DEMOLISH <br />D INSTALL REPAIR <br />D SFR D COMM D OTHER I <br />D BLOCK D FRAME D STEEL D <br /> <br />I~SYlA7 J MEW ~~(A}u... l~~ <<-. <br /> <br />I SQ FOOTAGE I <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />OTHER I <br /> <br />DESCRIPTION OF WORK <br /> <br />HEIGHT I <br /> <br />BUILDING SIZE <br /> <br />D <br /> <br />.1111..1111...111.......11...111,111","111,'..111.."...111.1111..........11...111...11..111.....11.'......1111..........11.........11............ <br /> <br />BUILDING <br /> <br />1$ <br /> <br />1$ <br /> <br />1$ ~I DOC>'c52J <br /> <br />D MECHANICAL 1$ <br /> <br />D GAS D <br />FINISHE:D FLOOR ELEVATIONS I <br /> <br />ROOFING <br /> <br />I <br />I <br />I r0\& } ~ ()~(J.d <br />I VALUATION OF MECHANICAL INSTALLATION \.!Jv ~1- ~~ <br /> <br />D SPECIALTY D OTHER (jJ) ~\JVP;;c/t-~'j,~~- <br />I FLOOD ZONE AREA DYES DNO ?Jl'- <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D ELECTRICAL <br />~ PLUMBING <br /> <br />I . I . . I . I I , , I I I I . . . . f I I . I I I I . I I I . , , t I I I I I . I P , . I I I I I I , , I I . I . . I . . I . , . I . , . . I . . I . . I . , , , , I , P , I r I I I I t I I . . . I I , , , ~ I I . . . . I . . . I I I . . . , . , , I . I 1 I I . . . p . I , , I I I , I I I <br /> <br />COMPANY <br />REGISTERED <br /> <br />~ <br />I Y / N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />BUILDER <br />SIGNATURE <br /> <br />Address <br /> <br />ELECTRICIAN I <br />SIGNATURE <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />I Y/ N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address; <br /> <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />Address <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y / N <br /> <br />FEE CURRENT <br /> <br />Y/N I. <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 <br /> <br />License # <br /> <br />1111I11111111111111111111111111111111111111111111111111I111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <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 />1111111I1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 j III J 111111111111 <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 A1C Fences (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />