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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 />Owner's Name <br />f-l I <br />Owner's Address <br /> <br />Fee Simple Titleholder Namel <br /> <br /> <br /> <br />bate Received <br /> <br />ulrJ--/ <br /> <br /> tLcla!{/} / h .LtuI It /?JO/YJ <br />JOB ADDRESS f.4/J-/ fJeaJ\j if I~ f 2~ 'r'M j/J pI. 3JStj J- LOT # <br />SUBDIVISION IcJrLKu~ /Jar'/( I PARCELlD#1 dJ.-~ ~ -;Jf - tJool.(j - ()O]dd- ckJ/ d <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED ~ NEW CONSTR B ADD/ALT D SIGN D MOVE D DEMOLISH <br /> INSTALL REPAIR <br />PROPOSED USE 0 SFR D COMM 0 OTHER I <br />TYPE OF CONSTRUCTION 0 BLOCK D FRAME 0 STEEL D OTHER I <br />DESCRIPTION OF WORK I <br /> <br /> <br /> <br /> <br />BUILDING SIZE <br /> <br />I JtJ' X /,f' <br /> <br />sa FOOTAGE I <br /> <br />/ fo If <br /> <br />HEIGHT I <br /> <br />I <br /> <br />"'...'.'..'11""""1111'.".'111'.1'11'.'."...."1....11..111..111....'.......111..."...,111.....,11.11.......1111.......1111111111.,11.1111.. <br /> <br />~ BUILOING []$ .,010 <br />~ ELECTRICAL L <br /> <br />D PLUMBING 1$ <br /> <br />D MECHANICAL 1$ <br /> <br />DGAS 0 <br />FINISHED FLOOR ELEVATIONS I <br /> <br />: <br />I <br />I <br />D <br />I <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />WR.E.C. <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />DYES DNO <br /> Aw/X'/I2f//YJ <br /> FEE CURRENT <br /> License # <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 /> License # <br /> <br />f1JC: ~~ <br />~~~ <br />~~ <br /> <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />Address <br /> <br /> <br />ROOFING <br /> <br />OTHER <br /> <br />BUILDER <br />SIGNATURE <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 <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />111111111111111 111111111111111111I11111111111111111111111111111111111111I111111111111111111111111111111111111111111111111111111111111111111111111 <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 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 />\1. ""PROPERTY SURVEY required for all NEW construction. <br /> <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 Fences (PloUSurvey/Footage) <br /> <br />Driveways-Not over Counter if on public roadwaysooneeds ROW <br />