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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 />;t\ 1 g~ <br /> <br />Date Received <br /> <br /> <br />Owner's Name <br /> <br />Owner's Address c!l/15: ,~ <br />Fee Simple Titleholder NamellY M <br />, <br /> <br />JOB ADDRESS <br /> <br />Fee Simple Titleholder Address I~ <br /> <br />I tfvJ C/l/t <br />I <br /> <br /> <br />&//0/ 2'E//(~~//.r/i '3 "3 SY2 LOT # <br /> <br />I PARCEL ID#YO-.2t d/-b~/".- 0/61/-11- 110 Z/ <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />[=:J ADD/ALT SIGN D MOVE D <br />c=J REPAIR <br />~ <br />D <br /> <br />SUBDIVISION <br /> <br />.~ <br /> <br />PROPOSED USE D <br />TYPE OF CONSTRUCTION ~ <br /> <br />DESCRIPTION OF WORK I ~w {?o",~ Ltlt' .~T;UJI~ <br /> <br />7 reo S" ,? I <br />1$ ~/S-2 >r't / I <br />1$-S-7L.f2. I <br />I$~try'-' I <br />1$ .3-C~~r I <br /> <br />D GAS D ROOFING D SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I rg.cf." v t; I FLOOD ZONE AREA DYES DNO <br /> <br /> <br />.....,.,"'111...,..1,.".'.111111'.......'1111..11'..""11"""1"'1111."'111"""."""""""1"'11IIp.III.....IIIIII..'..''..11111111111 <br /> <br />WORK PROPOSED <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />DEMOLISH <br /> <br />OTHER I <br /> <br />BUILDING SIZE <br /> <br />HEIGHT <br /> <br />57i;(~ <br />I <br /> <br />D <br /> <br />D <br />D <br />D <br /> <br />BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W,R.E.C. <br /> <br />PLUMBING <br /> <br />MECHANICAL <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />/fL~ <br /> <br />COMPANY <br />REGISTERED <br /> <br /> <br />BUILDER <br />SIGNATURE <br /> <br />Address <:;7.1? &.,4L t. <br /> <br />(J ({//!J <br /> <br />License # t,<:;" C CJ ~Jt!J 3<7 ~ <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />I Y / N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />I <br /> <br />Address <br /> <br />License # <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />1111I1111111111 1I1111111111I111I11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <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 onsile, 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 />11I1111I11111II111111I11111II1111I1111111I11111111111II1I11111111111111II11111111I11I1I111I1I1111I1111I111111111II11I1111111I11I1IIIII1I11I111111I <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 />