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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br /> <br />Date Received <br /> <br />Owner's Name <br /> <br />~/ u,oYA.4.!!S t <br /> <br />Owner's Address <br /> <br /> <br />Fee Simple Titleholder Namel <br /> <br />fhU1 <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Fee Simple Titleholder Address <br /> <br />?:'J u j:) <br /> <br />JOB ADDRESS <br /> <br />5//1 CHI <br />i-Jjlt <br /> <br />LOT# I /VIA- <br /> <br />PARCEL ID#I / l-~~- cfJ.../- c:::>D'D -/~oL;> -od70 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />B <br /> <br />PROPOSED USE D <br />TYPE OF CONSTRUCTION D <br /> <br />DESCRIPTION OF WORK I ::;:..J5jJJ.-11 1?"'~ ~+{{ } l}c,/oA:.. h-lo Uir -I e.41L/f6'o/ c::.:~~rs <br /> <br />BUILDING SIZE I SQ FOOTAGE I '-1'8"'1 g' HEIGHT I 1;""'/ 0 ..1 I <br />II II . II I I . I I I II I I I I I I I 1 , I I I I I I I I I I I I 11 II I I I II I I , II I I I I II , I I , I I I . I I , , I , , I I I I I I II , 1 I I , . I I' I I , I I I , , I I , . I I I I I II I , . I I . I I I , It. I I . . I I , I IIII I , I I I , ITfTlTTT <br /> <br />SUBDIVISION <br /> <br />I <br />B <br />D <br />D <br /> <br />ADD/AL T <br />REPAIR <br />COMM <br />FRAME <br /> <br />WORK PROPOSED <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />D BUILDING 1$ I j1.uo <br /> <br />D ELECTRICAL 1$ 117 <br /> <br />D PLUMBING 1$ <br /> <br />D MECHANICAL 1$ <br /> <br />D GAS D ROOFING <br />FINISHED FLOOR ELEVATIONS I <br /> <br />D <br />D <br />D <br /> <br />DEMOLISH <br /> <br />I <br />D <br /> <br />OTHER <br />STEEL <br /> <br />OTHER I <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D <br /> <br /> <br />AMP SERVICE <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />D <br />I <br /> <br />SPECIALTY D OTHER <br />FLOOD ZONE AREA DYES <br /> <br />cgtNO <br /> <br />~ <br /> <br />~~:";'RE I. 0 ~:'-~ <br /> <br /> <br />Address I License # <br />11111I11I111II1111111111111111111111111I111111111111111111111111111111111111I111111I1111111111I1111111111I1111111111111111111111111111111111II1111 <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 />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 requiremenls must meet compliance <br />Attach (2) sets of Engineered Plans. <br />....PROPERTY SURVEY required for all NEW construction. <br /> <br /> <br />BUILDER <br />SIGNATURE ,/ <br /> <br />--;:::::::~s <br />- <br /> <br />. ELECTRICIAN <br />( SIGNAT~~ <br />"----=-- <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br />COMPANY <br />REGISTERED <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br /> <br />L TI>-tW <br />I Y / N <br /> <br /> License # <br />Y I N FEE CURRENT <br /> License # <br />Y/ N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> <br />7-2 <br /> <br />Y/N <br /> <br />Y/N <br /> <br />Y/N <br /> <br />Di~~~ti~~~': . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . , . . <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 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 (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />