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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 -S' 1 t V i <br />Owner's Address I (; .3 7' 0 <br />Fee Simple Titleholder Namel <br /> <br /> <br />S fl I/l/A <br />I-Iv,v T, ~v'7' rO'1./ 121'L <br />, <br /> <br /> <br />Date Received <br /> <br />Fee Simple Titleholder Address <br /> <br />SUBDIVISION <br /> <br />15/1 <br />I <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN 0 MOVE 0 <br /> <br />DEMOLISH <br /> <br />JOB ADDRESS <br /> <br />n, f <br /> <br />LOT # <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />E1 <br />o <br /> <br />I <br />B <br />D <br />o BLOCK D <br /> <br />I ;<'.e-;t . 2. J" 'J r /~- ., <br />( <br />I sa FOOTAGE I <br /> <br />PARCEL 10#1 <br /> <br />WORK PROPOSED <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br /> <br />AD DIAL T <br />REPAIR <br />COMM <br />FRAME <br /> <br />o <br />o <br />o <br /> <br />OTHER <br />STEEL <br /> <br />I <br />o <br /> <br />OTHER I <br /> <br />BUILDING SIZE <br /> <br />I <br /> <br />..'111..1111...111...111..11....'..11....11111....,..........11...11...........111....11...........11.11.......111111.11......11.....111..,1""1111. <br /> <br />Il/c <br />. <br /> <br />HEIGHT I <br /> <br />DESCRIPTION OF WORK <br /> <br />0 BUILDING 1$ I VALUATION OF TOTAL CONSTRUCTION <br />D ELECTRICAL 1$ I AMP SERVICE D <br />D PLUMBING 1$ I <br />ct(' MECHANICAL 1$ ~ g9 f'G''-' I VALUATION OF MECHANICAL INSTALLATION <br />D GAS 0 ROOFING D SPECIALTY 0 OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br /> <br />I I I , , , . I I I I I . . , . . I I I . r I I , . I I I . . I 1 I P . . 1 I I . . I , , I , . . , , , I I I I I I I , . I I . , . I I 1 I I . I ~ I I I I . pi' , . I I , I I , . I I I I . I I . . I I P , I I I I I I I P . . . , , . I , I I . , I . . . , I I I , . . . . . . . . I . . I I <br /> <br />COMPANY <br />REGISTERED Y I N FEE CURRENT Y/N <br /> License # <br />COMPANY <br />REGISTERED I Y/N FEE CURRENT Y/N <br /> License # <br />COMPANY <br />REGISTERED YI N FEE CURRENT Y/N <br /> License # <br /> <br />BUILDER <br />SIGNATURE <br /> <br />Address <br /> <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />Address <br /> <br /> <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />License # I C J( c. (j r J9 V f> <br /> <br />Address <br /> <br />COMPANY <br />REGISTERED <br /> <br />OTHER <br />SIGNATURE <br /> <br />YI N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />11111111111I1111111111111111111111I1111111I111111111111I111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <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 />111I111111111111111111111111111111111111111111111111111I111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <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 roadways..needs ROW <br />