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<br /> <br />Fee Simple Titleholder Address I <br /> <br />13(P~lf Vi ~Lta. ~eLd {I~)i LrJ- I LOU Sit <br />6(1 \/evnao k>OSICrJ PARCELlD#IDLf-.)&-c1/-00lI'D -()Oleo -00.30 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br /> <br />813-780-0020 <br /> <br />Date Received <br /> <br />Owner's Name <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br />~ NEW CONSTR B ADD/All 0 SIGN D MOVE 0 DEMOLISH <br />INSTALL REPAIR <br />1&1 SFR 0 COMM 0 OTHER I <br />0 BLOCK 0 FRAME 0 STEEL jgj OTHER l1>rt()Ki ? ')c;, <br />I Ln5tol j I :i1rU3o.-tW{] <br /> I I HEIGHT l <br /> SQ FOOTAGE <br /> : <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />0 BUILDING <br />0 ELECTRICAL <br />~ PLUMBING <br />0 MECHANICAL <br />0 GAS <br /> <br />1$ <br />1$ <br />1$ CJ"tJO, <br />1$ <br /> <br />o ROOFING <br />FINISHED FLOOR ELEVATIONS I <br /> <br />1l'- <br /> <br />I <br />1 <br />I <br />I <br />o <br />I <br /> <br />DNO <br /> <br />o <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />W.R.E.C. <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY 0 <br />FLOOD ZONE AREA <br /> <br />OTHER <br />DYES <br /> <br />BUILDER <br />SIGNATURE <br /> <br />FEE CURRENT <br /> <br />~ <br /> <br />COMPANY <br />REGISTERED <br /> <br />L.Yi..!:U <br /> <br />Address <br /> <br />ELECTRICIAN I <br />SIGNATURE . <br /> <br />Address i <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />L.Yi..!:U <br /> <br /> <br />FEE CURRENT <br /> <br />~ <br /> <br />Address <br /> <br />\"uMf'ANY <br />REGISTERED <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />~ <br /> <br />Address <br /> <br />OTHER <br />SIGNATURE <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/ N <br /> <br />FEE CURRENT <br /> <br />~ <br /> <br />Address <br /> <br />License # <br /> <br />RESIDENTIAL <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-Q-W Permit for new construction, <br />Minimum ten (10) working days after submittai 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) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-Q-W Permit for new construction. <br />Minimum ten (10) working days after submittal date. Required on site, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br />Sanitary Faciiities & 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 />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 <br />Driveways-Not over Counter if on public roadways. .needs ROW <br /> <br />Fences (Plot/Survey/Footage) <br />