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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax~13-780~0*163 S <br /> <br />Dab! Received <br /> <br /> <br />I <br />I <br />I <br />11LPr.s1 eJD I L11Jyo( t.eph\frh( He;.' K__ I LOU I I <br />PARCELIDtlI3L}~~ -;;11 -OJ ID-()(XOD-COI b <br />IllBTA..ED FROM PROPERlY TAX NonCEI <br />ADD/AL T ~ SIGN D MOVE D <br />REPAIR <br /> <br />Owner's Name <br /> <br />Owner'sAddress !PI) rfJnx. iO.5l) fLntlnVllIC <br /> <br />Fee Simple Titleholder Name I <br /> <br />Owner Phone Number <br /> <br />~ Owner Phone Number I <br /> <br />I Owner Phone Number 1 <br /> <br />Fee Simple Titleholder Address <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />BUILDiNG <br /> <br />E3 <br />D <br />D <br />LRernoVe e <br />I <br />ll.t6Do ~ I <br />[ I <br />1$ I <br />1$ I <br /> <br />D ROOFING D <br /> <br />SFR <br />BLOCK <br /> <br />OTHER <br />STEEL <br /> <br />WORK PROPOSED <br /> <br />NEW CONSTR <br />INSTALL <br /> <br /> <br />DEMOLISH <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />OTHER I <br /> <br />DESCRIPTION OF WORK <br /> <br />mira-iea' <br />01~ns <br /> <br />BUILDING SIZE <br /> <br />VALUATION OF TOTAL CONSTRLX::TION <br /> <br />D ELECTRICAL <br />D PLUMBING <br />D MECHANICAL <br />D GAS <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />WR.E.G. <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br /> IqqrllD ~~GC} r~ I <br /> License # ~qs I <br /> If\Dr'q~n C&.i{lr .1 <br /> YI N FEE ENT Y/N <br /> License # ~)IYY)ICJ5 I <br />PLUMBER COMPANY I <br />SIGNATURE REGISTERED YI N FEE CURRENT l.r.L.!:!..J <br />Address License # I <br />MECHANICAL COIFANY I <br />SIGNATURE REGISTERED YI N FEE CURRENT l.r.L.!:!..J <br />Address License # I <br />OTHER COMPANY I <br />SIGNATURE REGISTERED YI N FEe CURRENT I Y/N I <br />Address License # I <br /> <br /> <br />OTHER <br /> <br />DYES <br /> <br />DNO <br /> <br />rr;;u .<i::::Kikl1kiffil:JU:l:::lf j;jir~i:iJ.I..'1:i ::Ilij ::L[l~Hii:ii;.-mt:m;:lIjir;;:Hi-mm.bij;I'U:i:lit<i[GIiir::1 ~Uj~liHluU:<1<Ilrml:ij 4i~ cr:-~I:n:l.~ilJlilij~!;;l''iWiWmi:aiZQ;jJ::lii'l:ilJttUj;;;:nm;:Hti.YH:I(ij:<i::'::<m::hWi'liF.alreQ1fI::-:u:aWJ;;.ji<t::::;:;;':::::i:mil::;:;1I1.J1::I-.:i:[ gyj":r:j:l: <br /> <br />RESIDENTIAL <br /> <br />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 dale. Required onsite, Construction Plans, StOfT1'lW8ler Plans wi Sill Fence installed, <br />Sanitary Facilities & 1 dumpster; Site Wor1< Permit for subdivisionsllarge projects <br />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) wor1<ing days aftersubmil1a1 date. Required onsite, Construction Plans, Stormwater Plans wi Sill Fence installed, <br />Sanitary Facilities & 1 dumpster. Site Wor1< Permit for all new projects. AI commercial requirements must meet compliance <br />Attach (2) sets of Engineered Plans. <br />--PROPERTY SURVEY required for all NEW construction. <br /> <br />COIlllloERCIAL <br /> <br />SIGN PERIIoIT <br /> <br />L'1lia:i:l::i;tT;:u:;::m:i4.Wnffi"ijJ;i~;:~li ::I:i:ii",urJ:m i;1" :1:t!Yl:ijii;>!1 [i:Hbliffil:Yimrr:'iiii;: ::::IliW~ f.illtl:"ii:l:l.li;:l: 'J RIi~~;[:::::::IIl1'FB'JIi'iJfXi::;Yaii::IPt1 :a;u:J;j,O:i-4iI"Jnilll'l:r:IM>:~t1~nli~mr::a:Hd;i::;::O:I. 'iiIJ;WIi:iJll::I;H 11 ~J:tIiai~1:Ii\j:;::;n;H':;lruifiJ1i1:il:r:.jij fa:": <br />Directions: <br />FiR out application completely. <br />Owner & Contractor sign back of application, notarized <br />If over 52500, a Notice of Commencement is required. (AIC upgrades over $5000) <br /> <br />Agent (for the contractor) or POIIIIer of Attorney (for the owner) would be someone with notarized letter from owner authorizing same <br /> <br />OVER THE COUNTER PERJIITTING (Front of Application Only) <br />Reroofs Sewers SeMce Upgrades NC <br />Driveways-Not over Counter if on public roact.Nays..needs ROW <br /> <br />Fences (plotlSurveylFootage) <br />