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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 C.'M~V..\...... <br />Owner's Address I ~ '" "" ") <br />Fee Simple Titleholder Namel <br /> <br />tt,e-U '" ~~ <br />\~ ~\. <br /> <br /> <br />Date Received <br /> <br />Fee Simple Titleholder Address <br /> <br />JOB ADDRESS <br /> <br />~'i~~ <br /> <br />\\~ ~. <br /> <br />LOT # <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />I <br /> <br />D ADD/ALT D <br />D REPAIR <br />D. COMM D OTHER <br />D FRAME D STEEL D <br /> <br />vt:;:'J. RQ.('aoQd W(,U ~oMA -" ~h,J. <br /> <br />SQ FOOTAGE I I HEIGHT I <br /> <br />PARCELID#III-?l,..1\.. 00\0-11')00.00\0 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />SUBDIVISION <br /> <br />DESCRIPTION OF WORK <br /> <br />B <br />D <br />D <br />I 5"G <br /> <br />DEMOLISH <br /> <br />WORK PROPOSED <br /> <br />OTHER I <br /> <br />BUILDING SIZE <br /> <br />I r . . . I I , . I I I . . . . I . . . . '. I' . I I . . . I I . . I I , . . . I I I I . . . I I . . . . I I . . I . I . . . I I . . ,.1. . . .., . I . . . . . . . . I I . I . I . . . . . I I I ... . . . I , . I I . . . . . I . I . I . . . . I , I I I I . . . . . . . . . . I . . . , . . <br /> <br />0 BUILDING 1$ <br />0 ELECTRICAL 1$ <br />0 PLUMBING 1$ <br />0 MECHANICAL 1$ <br />0 GAS D <br />FINISHED FLOOR ELEVATIONS I <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 /> <br />W.R.E,C <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />'~OD . <br />J <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />OTHER <br />DYES <br /> <br />DNO <br /> <br />1111'..'111'...'1'1"'....,..,1,..11.,.."11'1111."..11."".'....'1.""..,."'.,...".....'.",.'11"..'....11,......""...,1",......"'.1111 <br /> <br />BUILDER I <br />SIGNATURE <br /> <br />Address I <br /> <br />ELECTRICIAN I~.tt If\. <br />SIGNATURE .~U~~ <br />Address ~ D . fi e>.,c. <t ~ 1. <br /> <br />COMPANY <br />REGISTERED Y / N <br /> <br />FEE CURRENT Y / N <br /> <br />License # <br /> <br />COMPANY I DQ..~Se. <br />REGISTERED ~ Y I N <br /> <br />f",~cC; u.c..{ ) ~\A'. I <br />I FEE CURRENT Y / N . <br />License # I r;c f3oof3S "3 <br /> <br />PLUMBER <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 /> <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 />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />OTHER <br />SIGNATURE <br /> <br />Address <br /> <br />111111111111111 1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <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 />11111I1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I111111111111111111111111111111111 <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 />