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<br />Date Received <br /> <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br />813-780-0020 <br /> <br />- Owner's Address <br /> <br />Fee Simple Titleholder Namel <br /> <br />I O-rH 5T <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number ~ <br /> <br />Owner Phone Number I <br /> <br />- Owner's Name <br /> <br />--JOB ADDRESS <br /> <br />Fee Simple Titleholder Address I <br /> <br />15 Ll ~~ <br />I <br /> <br />IO,+t <br /> <br />c:::""-- <br />,~ 1 , <br /> <br />7~((H-tLL51 FL I LOT # l/q.J;)() <br /> <br />PARCELID#I /I-~- ~/-oo I~ -/37ct:J.-c> (o, G) <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />WORK PROPOSED <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />I <br />B <br />D <br />D <br />~cG <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br />FRAME <br /> <br />D <br />D <br />D <br />'33"d-' <br /> <br />DEMOLISH <br /> <br />SUBDIVISION <br /> <br />Ej <br /> <br />PROPOSED USE EfJ <br />TYPE OF CONSTRUCTION D <br /> <br />DESCRIPTION OF WORK I P'R \ \J ACA{ <br /> <br />BUll-DING SIZE I I SQ FOOTAGE I I HEIGHT I I <br />III ~IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII' 1111" 11111111'" 1'1' 1'111111111111' 11111111111111111111"" I' '1'11111111111111111111111111111111' <br /> <br />~ BUILDING 1$ 1 06.. ()[) I VALUATION OF TOTAL CONSTRUCTION <br /> <br />1$ I <br />1$ I <br />1$ I <br /> <br />D GAS D ROOFING D SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />~~:~~I~:IIIIII~II~~IIIII1IIIIIIIII~~IIII~IIIIIIII~II:'1111I1111111111111~~~:~:llil~~II~I;;~IIIIIIIIIIIIIIIIIII'1 <br /> <br />SIGNATURE 7!. ^_= .'GISO""D -.:!.I N I. mcu'."" Y/N <br /> <br />Address _ _ _ License # I I <br /> <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />OTHER <br />STEEL <br /> <br />I <br />D <br /> <br />OTHER I <br /> <br />D <br />D <br />D <br /> <br />ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />PLUMBING <br /> <br />MECHANICAL <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />ELECTRICIAN <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 />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 />YI N <br /> <br />FEE CURRENT <br /> <br />YIN <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 />111111111111111 <br />RESIDENTIAL <br /> <br />License # <br /> <br />SIGN PERMIT <br /> <br />1I1I11111111111111I1111111111111111111I1111I1111I111111111I11I11111I11111I11111111111111111111111111111111111111111111111111111111 <br />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 />Attach (3) 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 all new projects. All commercial requirements must meet compliance <br />Attach (2) sets of Engineered Plans. <br />....PROPERTY SURVEY required for all NEW construction. <br /> <br />COMMERCIAL <br /> <br />Di~~~ii~~~.: 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 I I I <br /> <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 Attomey (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 />