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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Buiking Department <br /> <br />Fax-813-780-0021 3:;';;;).. <br />S<qs-~-t.j 99 <br />-tt 1l{6'" <br /> <br />Date Received <br /> <br /> <br />LOTlJ I '1 <br /> <br />Owner's Name <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />o <br /> <br />E3 NEWCONSTR D AOOIALT D SIGN D <br />INSTALL ~ REPAIR <br />D SFR D COMM D OTHER <br />D BLOCK D FRAME D STEB. D <br /> <br />I'IN'.. : or """"~Il.~\ ,i" \ h ""''''~''!. <br />I sa FOOTAGE I I HEIGHT. <br /> <br />MOVE D <br /> <br />DEMOLISH <br /> <br />WORK PROPOSED <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />OTHER I <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />~ BUILDING 1$ 121 ~() VALUATION OF TOTAL CONSTRUCTION <br />~ B.ECTRICAL 1$ 3115.01) AMP SERVICE D PROGRESS ENERGY <br />D PLUMBING 1$ <br />IYJ MECHANICAL 1$ '.3~~&-, U D VALUATION OF MECHANICAL INSTALLATION <br />D GAS CJ ROOFING OTHER <br />FINISHED FLOOR ELEVATIONS I DYES <br /> <br />BUILDER <br />SIGNATURE <br /> <br /> <br /> <br />Address 33> d ') <br />Xi ELECTRICIAN I <br />Uf SIGNATURE , <br />Address <br /> <br />~~:"~~RE I I ;:>=:R': ~ FEEcURREKT <br />,,~! . ~16J I l~nse# I <br />d)::#1 ~f7= 1~~~.i"~K LWU <br />~ddress 1/'7l>gI,.Cc;feL lS\\I~. Bn>ku;I'~FL. ~'lr.ol license # It~c \~I~,) :1'1 <br /> <br />OTHER I I COMPANY I <br />SIGNATURE . . REGISTERED ~ FEE CURRENT <br /> <br />Ad dress I <br /> <br />I D ~ "" 0 >'V~ to. Y\J ~ ~o \") . ':t. r\) c.. I <br />Y I N FEE CURRENT ~ <br />." lK:ense# I t.~L \~~D~ I' I ../1., <br />1R.~~tl .J D~r\.'G:JJ\..cxt:rl-"~~' .~. <br />Y I N FEE CURRENT Y I ~', <br />SO- <br />license # IE R. \~()\ do ~l ~- I <br />I <br /> <br /> <br />I-ct- abIa'W <br />I <br />I <br />I <br /> <br />U1.!:U <br /> <br />~ <br /> <br />License # <br /> <br />llIl <br />RESIDENTIAL <br /> <br />COMMERCIAL <br /> <br />Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-Q-W Perm~ for new construction. <br />Minimum ten (10) working days after submittal date. Required ons~e, Construction Plans, Stormwater Plans wi Si~ Fence installed, <br />Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects <br />Attach (3) complete sels of Building Plans plus a Life Safety Page; (1) set of Energy Forms, R.O-W Perm~ for new construction, <br />Minirn.om ten (10) 'Mlrking days after submittal date. Required onsile, Construction Plans, SIormw:ater Plans wi Si~ Fence installed, <br />Sanitary Facilities & 1 dumpster, Site Work Pennit IDr all new projecIs. AI COfT1rT1efCial requirements must ~ co""'iance <br />AlIach (2) sets of Engr-red Plans <br />---PROPERTY SURVEY required for all NEW construction, <br /> <br />SIGN PERMIT <br /> <br />Directions: <br />FiU out application completely. <br />Owner & Contraclor sign back of application, nolarized <br />If over S2liOO. a Notice of Commencement is required. lAIC upgl3des over SllOOO) <br /> <br />Agent (loT the conl1acIor) CK p.,...,.. of AIlomey (fer the """"'" would be someone _ nolarized _ from owner authorizing same <br /> <br />OVER THE COUNTER PERMITTING (F runt of Application Only) <br />Reroofs Sewers Selvice Upgrades NC Fences (pIotISurveylFootage) <br />Driveways-Not over Counter if on public roadwaysHneeds ROW <br />