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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br /> <br />Date Received <br /> <br /> <br />M 1'_(\J:--J/1', <br />Owner's Name (;r V/.A..A:7"" l <br />Owner's Address I 6 Z 4 9 No /1-(11).. fr f( t- <br />Fee Simple Titleholder Namel <br /> <br />Fee Simple Titleholder Address I <br />JOB ADDRESS 51} M r; - <br /> <br />IJIL <br /> <br />LOT # <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />I <br /> <br />~ <br />o <br />o <br />;200 r),J V '--/0 l' <br /> <br />I SQ FOOTAGE I <br /> <br />PARCEL ID#I 0 "3 <br /> <br />J... 6 1-/ () If1) 00001) () )21) <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />DEMOLISH <br /> <br />SUBDIVISION <br /> <br />DESCRIPTION OF WORK <br /> <br />~ <br />D <br />D <br />\(LG <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br />FRAME <br /> <br />D <br />D <br />D <br /> <br />I <br />D <br /> <br />OTHER I <br /> <br />WORK PROPOSED <br /> <br />OTHER <br />STEEL <br /> <br />BUILDING SIZE <br /> <br />I <br /> <br />.'...11...1111...11...11.......'.....11.'........111..111..111.............-..11....11...11..11111..11.111........IIIIII...'III...............p....... <br /> <br />HEIGHT I <br /> <br />D BUILDING :: CV 00 ,.rJ : VALUATION OF TOTAL CONSTRUCTION <br />D ELECTRICAL AMP SERVICE 0 PROGRESS ENERGY <br />D PLUMBING 1$ I <br />D MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION <br />D GAS ~ ROOFING 0 SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />D W.R.E.C, <br /> <br />~o~/ <br /> <br />Illpll.II."..""IIIII..."....,..II,....IIII".....,"1111""1"'111"11111",,,"""'1'111"""1'1111.""'1111""""111111"""'11111111 <br /> <br />COMPANY <br />REGISTERED <br /> <br />BUILDER <br />SIGNATURE <br /> <br />Y / N FEE CURRENT <br /> License # <br />Y / N FEE CURRENT <br /> License # <br />Y / N FEE CURRENT <br /> License # <br />Y / N FEE CURRENT <br /> <br />Y/N <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />MECHANICAL I <br />SIGNATURE <br /> <br />Address I <br />OTHER . v{ll t~- <br />SIGNATURE . <br />Address I fJ f) 60 X. 1:3 ~ J <br /> <br />COMPANY <br />REGISTERED <br /> <br />COMMERCIAL <br /> <br />License # I <br /> <br />~~~~:R~~ I ~IJ~/~I I-~~;:::~ I Y/N I <br />License # IIlC&fJ L/ 6 2t{ / <br />. <br />1I11I111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <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) 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 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 />I111I11111111111111111111111I111111111111111111II11111111I111I1111111111111111111111111111111111II11111111111I1I11111111111111111I11111111111I1111 <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. (A1C upgrades over $5000) <br /> <br />Agent (for the cQntractor) 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 /> <br />Y/N <br /> <br />DC- <br /> <br />I <br />'3:> ~;2..6- <br /> <br />SIGN PERMIT <br /> <br />Fences (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />