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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 '...e..-r <br />Owner'sAddress 1'58~C) J q-rG -9r-cd- <br /> <br />Fee Simple Titleholder Namel <br /> <br /> <br /> <br />Date Recllived <br /> <br />Fee Simple Titleholder Address <br />S'-S: l) C( <br /> <br />I O;-I-L' ,s.J-f-i' ~A-- <br /> <br />LOT # <br /> <br />JOB ADDRESS <br /> <br />PARCEL ID#I <br /> <br />o <br /> <br />o OTHER I <br />~- STEEL c==J <br /> <br />DESCRIPTION OF WORK Do' D .z. 0 d cL{ +{ ei.....-J t.. i-I (.1 C U (;/ <br /> <br />~~~~?.'~,~,~~'" ,I, ~~~ ~..: ~,:?,~,~,,!,'" ,~~ ~?~~~~~'" e. .?~, ,:.;, !i:,." ,~~I~~~,!""",.""""",., ,I,..."...,...."...'" , <br /> <br />o / BUILDING 1$ /0/ C(!;'O I VALUATION OF TOTAL CONSTRUCTION <br /> <br />d ELECTRICAL 1$ 1-))( Lt:/U I AMP SERVICE 0 PROGRESS ENERGY <br /> <br /> <br />1$ I <br />1$ I <br /> <br />o ROOFING 0 <br /> <br />FINISHED FLOOR ELEVATIONS I I <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />I <br />B <br />o <br />o <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE 0 <br /> <br />DEMOLISH <br /> <br />SUBDIVISION <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />B <br />o <br />o <br /> <br />ADD/All <br />REPAIR <br />COMM <br />FRAME <br /> <br />WORK PROPOSED <br /> <br />OTHER I <br /> <br /> <br /> <br />D <br /> <br />W.R.E,C, <br /> <br />D <br />D <br />D <br /> <br />PLUMBING <br /> <br />MECHANICAL <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />GAS <br /> <br />SPECIALTY 0 <br />FLOOD ZONE AREA <br /> <br />OTHER <br /> <br />DYES <br /> <br />DNO <br /> <br />BUILDER <br />SIGNATURE <br /> <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br /> License # <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 />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />COMPANY <br />REGISTERED <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />Y/N <br /> <br />Address <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />COMPANY <br />REGISTERED <br /> <br />OTHER <br />SIGNATURE <br /> <br />Address I ' I License # I I <br /> <br />111111111111111111111111111111111111111111111111111111111111111111111111111111111;111111111111111111111111111111I111111111111111111111111111111111 <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 subdivisionsflarge 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 />111111111111111111111111111111111111111111111111111111I111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I <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 />Y/N <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />