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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 />Date Receivt!d <br /> <br /> <br />( ~""., <: / / <br /> <br /> <br />7g"333~1 <br /> <br />Owner's Name <br /> <br />Owner.s Address I '3 ? 9' 13 <br />Fee Simple Titleholder Namel <br /> <br />7 /Ill ~ <br /> <br />JOB ADDRESS <br /> <br />Fee Simple Titleholder Address I <br /> <br />13 79 15 <br />I <br /> <br />7 <br /> <br />Ill.l e.. <br />I <br />B <br />D <br />D <br />10 <br /> <br />LOT # <br /> <br />PARCEL ID#I <br /> <br />SUBDIVISION <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D DEMOLISH <br /> <br />WORK PROPOSED <br /> <br />E3 <br />o (5!!P <br />TYPE OF CONSTRUCTION D BLOCK <br />DESCRIPTION OF ~ I u P G r.... J 'C:.- <br />I I I <br /> <br />NEW CONSTR <br />INSTALL <br /> <br />, _P<6DtAL T: <br />~' <br /> <br />PROPOSED USE <br /> <br />COMM <br />FRAME <br /> <br />D <br />D <br />D <br />19 "7) /J <br />( <br /> <br />OTHER <br />STEEL <br /> <br />I <br />D <br /> <br />OTHER I <br /> <br />zoo <br /> <br />BUILDING SIZE <br /> <br />HEIGHT I <br /> <br />11...111...111...111............11.....'.....11......,......111...11.'11.11..1111..11.........111.....11111.......11..........11..11.............. <br /> <br />SQ FOOTAGE I <br /> <br />D <br />rd <br /> <br />1$ <br /> <br />1$ /~O(OO <br /> <br />D PLUMBING 1$ <br /> <br />D MECHANICAL 1$ <br /> <br />D GAS D <br />FINISHED FLOOR ELEVATIONS I <br /> <br />BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE d" PROGRESS ENERGY <br />&00 <br />uf 5 rc.-,l~ <br /> <br />D <br /> <br />W.R.E.C <br /> <br />ELECTRICAL <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />ROOFING <br /> <br />D <br />I <br /> <br />SPECIALTY D OTHER <br />FLOOD ZONE AREA DYES <br /> <br />DNO <br /> <br />111...."....'11.......11.'.11."111.'11111"....'1".1111'11""""'1'1'111""'111"111'111111'1"""'1'11'....,.....,.."'.'1'.'.."...".." <br /> <br />COMPANY <br />REGISTERED <br /> <br />BUILDER <br />SIGNATURE <br /> <br />Y/N FEE CURRENT <br /> License # <br /> E <br /> FEE CURRENT <br /> License # <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 />~2~__1 <br /> <br />COMPANY <br />REGISTERED <br /> <br /> <br /> <br />7C- <br /> <br />d.~ <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />Address <br /> <br />COMPANY <br />REGISTERED <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />Y/N <br /> <br />Address <br /> <br />COMPANY <br />REGISTERED <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />Y/N <br /> <br />Address <br /> <br />COMPANY <br />REGISTERED <br /> <br />OTHER <br />SIGNATURE <br /> <br />Y/N <br /> <br />Address <br /> <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 date, Required onsite, Construction Plans, Stormwater Plans wI Silt Fence installed, <br />Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisionsllarge 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 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 />1111111I111111111111II111II1111I111I111111111111111111111111111111111111111111111111111111I1111111I11111111111111111111II111111111111111111111111I <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 cqntractor) 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 Ale Fences (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />