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<br />1313-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br />Date Received <br />1111111/ II <br /> <br /> <br /> <br />-I '7- 0 <br />Owner's Name ,.....; te k./o/?flGRC /?J/l5 ~.4iL <br />Owner's Address I hl/ ~ 97 J. ~ <br />Fee Simple Titleholder Namel <br /> <br />?1 <br />9 <br /> <br />s~~ <br /> <br />JOB ADDRESS <br /> <br />LOT # <br /> <br />SUBDIVISION <br /> <br />PARCEL 10#1 <br /> <br />I <br />8 <br />c==J <br />D <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D DEMOLISH <br /> <br />WORK PROPOSED <br /> <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />BUILDING SIZE <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 I I I <br /> <br />1$ <br />1$ 57J--~ <br />D PLUMBING 1$ <br />D MECHANICAL 1$ <br /> <br />DGAS D <br />FINISHED FLOOR ELEVATIONS I <br /> <br />D BUILDING <br />~/ELECTRICAL <br /> <br />ROOFING <br /> <br />I <br />I <br />I <br />I <br />c==J <br />I <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br />AMP SERVICE / ~ ~GRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />SPECIALTY D OTHER <br />FLOOD ZONE AREA DYES <br /> <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />DNO <br /> <br />"""11'11"'11""1"111"1'11""".""""'111"1...."1111."'...,,'..".,1111..""....."..."',..""1'1.111111"."'1111"'.1'1"11111,, <br /> <br />BUILDER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br /> <br />Y I N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y I 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 />YI 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 <br /> <br />License # <br /> <br />1111111I1111111 111111111111111111111111111111111111111111I11111I111111111111111111111I111111111111111111I1111111111111I11111111111111111111I11111 <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 onsile, Construction Plans, Stormwater Plans wi Silt Fence installed, <br />Sanitary Facilities & 1 dumpster; Site Work Permit for sUbdivisionsllarge 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 wi 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 />111111111111111111I1111111111I1I111111111111I111111I1I1"111'1111111'111111"1111111111111111111"'111111111111111111I11I11111111I1111111111111111 <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. (A1C upgrades over $5000) <br /> <br />Agent (for the contractor) or Power of Attorney (for the owner) would be somElone with notarized letter from owner authorizing same <br /> <br />OVER THE COUNTER PERMITTING (Front of Application Only) <br />Reroofs Sewers Service Upgrades A1C Fences (PloUSurvey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />