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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 /> <br />Owner.s Address C;6l /I ?i- /' . -2 <br /> <br />Fee Simple Titleholder Namel he /&/e- y ~~ t--e-/:'.o/h e ^ -r <br />" / <br />Fee Simple Titleholder Address I <br />I Ss/{J - .5S~(? <br />I <br /> <br />" <br /> <br />Date Received <br /> <br />Owner's Name <br /> <br />-;t- <br /> <br />8-. // 1'./, ~_ ~eJ-I\ <br /> <br />JOB ADDRESS <br /> <br />LOT # <br /> <br />~J/ <br />I <br /> <br /> <br />D NEW CONSTR D <br />~ INSTALL D <br /> <br />PROPOSED USE 0 SFR CXJ <br /> <br />TYPE OF CONSTRUCTION 0 BLOCK D <br /> <br />DESCRIPTION OF WORK I-r>, r " /i ~,: 0'1 h,c '1-c r- <br /> <br />BUILDING SIZE I -" I SQ FOOTAGE I I HEIGHT I 'I <br /> <br />",....,.......,.....,...............,.....,..,..."....,......,....,.,..".,.....",..,.......",..:.........".......,......,......,..,.."..", <br /> <br />o BUILDING 1$ I VALUATION OF TOTAL CONSTRUCTION <br /> <br /> <br />o ELECTRICAL 1$ I AMP SERVICE 0 PROGRESS ENERGY <br /> <br /> <br />o PLUMBING 1$ I <br /> <br />o MECHANICAL 1$ I <br /> <br />o GAS 0 ROOFING 0 <br />FINISHED FLOOR ELEVATIONS I I <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />~/J/d <br />PARCEL 10#1 <br /> <br />ADD/AL T <br />REPAIR <br />COMM <br />FRAME <br /> <br />o <br />o <br />o <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN 0 MOVE D <br /> <br />DEMOLISH <br /> <br />I <br />D <br /> <br />OTHER <br />STEEL <br /> <br />OTHER I <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY 0 <br />FLOOD ZONE AREA <br /> <br />OTHER <br /> <br />DYES <br /> <br />DNO <br /> <br />"".1..."...,",...,."""..,.."...1".'1.1."...,'1..'1.""'..".'..'1"..."1""'.1.'.'.".."'......'I"lp...'I.'I........'I.".....'1111 <br /> <br />:::!~~~RE 2 - _.v -67' <br /> <br /> <br />Address _ <br /> <br />ELECTRICIAN I <br />SIGNATURE , <br /> <br />Address I <br /> <br />::c:':"~~~E ~ ~. ~ ~.. <br /> <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 />COMPANY <br />REGISTERED <br /> <br />Y / N FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y / N FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y / N FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y / N FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <br /> <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 subdivisionsllarge 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 onsile, 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 />1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I111111111111111111111111111111111111111111111111111 <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 /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br /> <br />Fences (Plot/Survey/Footage) <br />