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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 />-tt-135:6 <br /> <br />Date Received <br /> <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Owner's Name <br /> <br />Owner's Address S q L.f J 0 ~)~ e. g <J ..2 <br />Fee Simple Titleholder Namel c~ +1 1'( 2'1~ jdf li..F <br />5]35 <br />] ~ 450 J~Jx <br /> <br />I <br /> <br />lJZI NEWCONSTR D ADD/ALT D <br />D INSTALL D REPAIR <br />PROPOSED USE D SFR o:2t. COMM D OTHER l...s fIR l..v.~ /~ <br />TYPE OF CONSTRUCTION D BLOCK D FRAME Q STEEL 0 <br /> <br />DESCRIPTION OF WOR'j{-~ Ke'Tv.- tJ e ... t (~ ,....-fl>...- p:- - Sc {e U<./o/ k <br /> <br />BUILDING SIZE bs c 'i< J 0 I SQ FOOTAGE ~60J) ) F I HEIGHT II Y ( I <br /> <br />'....11'.'111...11...'....11...11..11.....11...........1....1................................1..................111.......11....'....'...,.....1.1. <br /> <br />D BUILDING 1$ 1 VALUATION OF TOTAL CONSTRUCTION <br /> <br />1$ I <br />1$ I <br />1$ I <br />D GAS D ROOFING D <br />FINISHED FLOOR ELEVATIONS I I <br /> <br /> <br />3s f V .:2 <br /> <br /> <br />JOB ADDRESS <br /> <br />LOT # <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />SIGN <br /> <br />o <br /> <br />DEMOLISH <br /> <br />OTHER I <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 />D <br />D <br />D <br /> <br />PLUMBING <br /> <br />MECHANICAL <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />OTHER <br /> <br />DYES <br /> <br />DNO <br /> <br />BUILDER <br />SIGNATURE <br /> <br /> <br />~ <br /> <br />COMPANY <br />REGISTERED <br /> <br />~C( (Ir C(){'v~ c4V( f 0'- he <br />I Y I N I FEE CURRENf I Y I N '1- <br /> <br />License # Ie: c C' Ob (j.b <..( i <br /> <br />Address <br /> <br />]~ ~J <br /> <br />Ow/(~ I}z.k../ w~'lel CA."f.;I./ Iz - J'JrVY I <br /> <br />I <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />MECHANICAL I <br />SIGNATURE . <br /> <br />Address I <br /> <br />OTHER I <br />SIGNATURE <br /> <br />Address I <br /> <br />11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <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 wI 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 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 />11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <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 A/C Fences (Plot/Survey/Footage) <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />