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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department "/:/, <br />J -a6LD <br />J3 <br /> <br />Fax-813-780-0021 <br /> <br /> <br />Date Received <br /> <br />Owner's Address <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Fee Simple Titleholder Name <br /> <br />Fee Simple Titleholder Address Is.ame v.S tkhtJve <br /> <br />13'l?-z;g Neuju)I)1 ItvE; ~A:Jrh~/!s;. . . I LOT # 1,;{3 <br /> <br />I GraflcL !-hr/zoI7S I PARCEL ID#13'f-;(S~;;~j~{JtJqfJ-tJtJ(YJ{Y- 0;236 <br /> <br />d NEW CONSTR E3 ADD/ALT D ::~INED 0 PROP~:~AX DC E) DEMOLISH <br />D INSTALL REPAIR <br />PROPOSED USE D SFR D COMM D <br />TYPE OF CONSTRUCTION D BLOCK D FRAME D <br /> <br />DESCRIPTION OF WORK I Re"oltt ce ? Win do wS <br />I <br /> <br />BUILDING SIZE I t I SQ FOOTAGE I I HEIGHT I <br /> <br />~A~""""""""I""I'.""...llr'I".'".."'rl""..II..III....IIII..."".III..IIII...III'P.....IIII~.I....1111.....111..11111111.11.11 <br /> <br />L1d BUILDING 1$ Lf 3 h 0 ~ VALUATION OF TOTAL CONSTRUCTION <br />D ELECTRICAL 1$ AMP SERVICE ~ PROGRESS ENERGY <br /> <br />o PLUMBING 1$ <br /> <br />o MECHANICAL 1$ <br /> <br />o GAS D <br />FINISHED FLOOR ELEVATIONS I <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />OTHER <br />STEEL <br /> <br />I <br />D <br /> <br />OTHER I <br /> <br />Address <br /> <br /> <br />DYES <br /> <br />D <br />j <br />~lJt <br />00 <br /> <br />W.R.E.C <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />ROOFING <br /> <br />D <br />I <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />OTHER <br /> <br />BUILDER <br />SIGNATURE <br /> <br />I~~ <br /> <br />1lI/UlZ.11? ttht/ .In::::- <br />'1 . . - FEE CURRENT (f Y/ N I <br /> <br />License # I eRe. t1~77 <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <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 /> 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 <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 />1I1111111111111 11II1111111111111111111111I11111111111111111111111111111111111I1111111111111111111111111111111I11111111111111111111111111111111111 <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 />11111111111111111111111111I1I1111I11111I111111I111111I111I1I1111I1111I1111111I111111111111I11I1111I11111111II111I1111111111111111I11111I11I1I11III <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 NC Fences (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadwaysooneeds ROW <br />