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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />, 16,t;ax-813-780-0021 <br /> <br />Date Received <br /> <br /> <br />/055 <br />? ~jJ ~Il :2/ ;~-e <br /> <br /> <br />Owner's Name <br /> <br />Owner's Address I '" 10 S- <br />Fee Simple Titleholder Namel <br /> <br />t)R.. <br /> <br />Fee Simple Titleholder Address I <br /> <br />It/oS-B"-<pJ..'fJl /?; OJ-'/. OIL 33,v2- I LOT# I 9 <br /> <br />I ZtffUrrirt/ff I PARCELlD#163-Z4- 2/- 0/30 -66oo016,9d I <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />D NEW CONSTR D ADD/ALT D SIGN 0 MOVE D DEMOLISH <br />~ INSTALL D REPAIR <br />PROPOSED USE ~ SFR D COMM D OTHER I <br />TYPE OF CONSTRUCTION 0 BLOCK D FRAME D STEEL 0 <br /> <br />DESCRIPTION OF WORK IBIG-"'9 J'V .R<.o...J7', BUll+- sI-P.d a:i. <br /> <br />BUILDING SIZE I /). ~& 0 I SQ FOOTAGE I "LY-D I HEIGHT I <br /> <br />~11..'"t'..II....'I..'I..II.'.'I."~"I...""..'I...'11.."...,1,..."..........,1,.......,1.".....1,..,..1.......1....11111.'1,....1..1....... <br /> <br />~ BUILDING 1$ 3 C. 01. I VALUATION OF TOTAL CONSTRUCTION <br />D ELECTRICAL 1$ I AMP SERVICE D PROGRESS ENERGY D <br /> <br />D PLUMBING 1$ I ,sd-bo&--S <br /> <br />D MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION d 0 ~+ ~~~ <br /> <br />D GAS D ROOFING D SPECIALTY D OTHER I I ']- S)~ <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO I ~o = <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />OTHER I <br /> <br />W.R.E.C, <br /> <br />BUILDER <br />SIGNATURE <br /> <br /> <br />1-1 ~ (!kvAJ-L/L <br />I Y I N I FEE CURRENT I Y I N <br /> <br />License # I <br /> <br />Address <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N FEE CURRENT <br /> License # <br />Y I N FEE CURRENT <br /> License # <br />YI N FEE CURRENT <br /> License # <br />Y I N FEE CURRENT <br /> License # <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 />11111111111111111I111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I1I11111111111111111111111111111111 <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 />111111111111111111111111111I1111111111111111111111111111I11111111111111111111111111111111111111111I11111111111111111111I11I111111I1111111111111111 <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 />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />OVER THE COUNTER PERMITTING (Front of Application Only) <br />Reroofs Sewers Service Upgrades AlC <br /> <br />Fences (PloUSurvey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />