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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application A /'\ fJD(I1/ <br />Building Department ~tr I J <br /> <br />Fax-813-780-0021 <br /> <br />Fee Simple TitleholdE!r Name <br /> <br /> <br />W lV\..50 V <br />I-d GroTo~ Gt <br /> <br />Phone Conl..,t fo, Peno'!ting 9'~' ,1.............1,,,,,,,"'" , <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br /> <br /> <br />Date Received <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Address I <br />JOB ADDRESS I G,ll 'L 6'<. i5iV C oct Ct....c(<. <br />SUBDIVISION I I <br />WORK PROPOSED B NEW CONSTR B <br /> INSTALL <br />PROPOSED USE 0 SFR D <br />TYPE OF CONSTRUCTION 0 BLOCK D <br />DESCRIPTION OF WORK .,fb 0 {' v.....> q <br /> <br />BUILDING SIZE <br /> <br /> <br />-30 y'V 2~;lls F- ( 3. ~></ L(bI7/~OT# I <br /> <br />PARCELlD#lo2-2b- 2/- bLI O--ooODo-1 'fq 0 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE 0 <br /> <br />OTHER [ <br />STEEL D <br /> <br />'1.-/ 1\' 'IV\.. ~ lJ t [' .,...{' <br /> <br />HEIGHT I <br /> <br />ADD/AL T <br />REPAIR <br />COMM <br />FRAME <br /> <br />o <br />o <br />o <br /> <br />DEMOLISH <br /> <br />OTHER I <br /> <br />I <br /> <br />.'.....11....111...11....11.......11........'...111.............11.....1...'.......11....111..111....,...11111........'"1....11111"11......11111.111 <br /> <br />1$ Cr ~10" aV <br />1$ <br /> <br />1$ <br /> <br />1$ <br /> <br />;';'SHEO :~OR ELEVATIO~ <br /> <br />ROOFING <br /> <br />I <br />I <br />I <br />I <br />D <br />I <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C <br /> <br />o <br />o <br />o <br />o <br /> <br />BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />ELECTRICAL <br /> <br />PLUMBING <br /> <br />MECHANICAL <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY 0 <br /> <br />FLOOD ZONE AREA <br /> <br />OTHER <br /> <br />DYES <br /> <br />DNO <br /> <br />"",.p'"IIIIIIIII""..,..IIIII"I,.,".I.,,","1111111111111"1111111"""1"11111".'.."'11'"""1111"""'1""""'1111',1"'11,,,"""1,,'1, <br /> <br />BUILDER <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 /> <br />Y/N <br /> <br />Address <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 />OTHER <br />SIGNATURE <br /> <br />I~~-~I <br />I~D Box /l8Y ~h ~io'y1.l '., PI 33S-76 1 <br /> <br />COMPANY <br />REGISTERED <br /> <br />License # I <br /> <br />tS'u i+5kLk.Mt\~ f2oo~~ LK<: <br />I Y / N I FEE CURRENT 1 N I <br /> <br />License # Ice cor- 1 '1 r- ( <br /> <br />Address <br /> <br />Address <br /> <br />11I111111111111I1I1111I11111111I1111111111111111111111111111111111111111111111111111111I1111111111111111111111111111111111111111111111111111I11111 <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 />II1I11111111111111111111111111111111111111111111111111111I11111111111111111111111111111111111111111111111111111111111111111111I11111111111111I1111 <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 (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways,.needs ROW <br />