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<br /> <br />h. VIJI'1 ~ I< <br /> <br />5D" 55 (\Ji~ (1/\( I~ '2A /Ucr-Ihlh III <br /> <br /> <br />Fax-813-780-0021 <br /> <br />.1 ~~() <br /> <br />780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />~ <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Namel <br /> <br />MI- <br />I <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />2 At 'II f ;:- / '33S-Y2- <br /> <br />PARCEL ID#I () 2- -'2...10 - L r -01 g--O-bOQOO -0 3 (0 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />LOT # <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />DESCRIPTION OF WORK <br /> <br />E3 <br />D <br />D <br />I <br /> <br />ADD/AL T <br />REPAIR <br />COMM <br />FRAME <br /> <br />D <br />D <br />o <br /> <br />DEMOLISH <br /> <br />WORK PROPOSED <br /> <br />OTHER I <br />STEEL D <br /> <br />OTHER I <br /> <br />BUILDING SIZE I sa FOOTAGE I l ( S (. HEIGHT I <br /> <br />'.'11...,11.1'.1'.....,11.....,......111'111.'....111...'.111....'....,....-......'111..............'...'1................'.""".'......""f..".. <br /> <br />D <br />D <br />D <br />D <br /> <br />1$ 33~O ,oV <br /> <br />1$ <br /> <br />1$ <br /> <br />1$ <br /> <br />D GAS ~ <br />FINISHED FLOOR ELEVATIONS I <br /> <br />ROOFING <br /> <br />I <br />I <br />I <br />I <br />D <br />I <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C, <br /> <br />BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />ELECTRICAL <br /> <br />PLUMBING <br /> <br />MECHANICAL <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY D OTHER <br /> <br />FLOOD ZONE AREA DYES <br /> <br />DNO <br /> <br />11111"".....11.""".111..,.,'11....'111.'..'.'...11111'..111'.......111"'...."..'11...'11,..,......11'"'1'111'11"'1""'111"1""'1"1'1' <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />BUILDER <br />SIGNATURE <br /> <br />Address <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 <br />SIGNATURE <br /> <br /> <br />b 'Gt:.X ll&;r <br /> <br /> <br />Address <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 w/ 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 w/ 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 />1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I111111111111 <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. (Ale 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 Fences (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />