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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 Received <br /> <br /> <br /> <br />Jo V" <br />Owner's Address I '5 7 ~ l{ 0 N e ~ ffur\ l-- 011 S f) 111 cI <br />Fee Simple Titleholder Namel fJ fr <br /> <br />Owner's Name <br /> <br />Fee Simple Titleholder Address I <br /> <br />I <br />I G rtt ~ ~: '4> (I S f"1tff I <br /> <br /> <br />D NEW CONSTR c=J <br />D INSTALL c=J <br /> <br />PROPOSED USE D SFR <br /> <br />TYPE OF CONSTRUCTION D BLOCK <br /> <br />I LOT# I <br /> <br />PARCELlD#13~-lr-'tI-0090-0001J{)- oSl1tJ <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />D SIGN D MOVE D <br /> <br />D <br />D <br /> <br />o oil re- <br /> <br />BUILDING SIZE I 'l--- ~ SQ FOOTAGE I '2.. Q"1 I HEIGHT I I () <br /> <br />~/""'I...IIII.""..I...."...'I....I'.II...II...I.I..I'.,..,......,11...111....111..111..."......'..1111111......"r.."""'............... <br /> <br />l.LLf BUILDING 1$ / ~ 17. s-O I VALUATION OF TOTAL CONSTRUCTION <br /> <br />D ELECTRICAL 1$ AMP SERVICE 0 PROGRESS ENERGY ,D "YV.R.E.C <br />,,/,,/ <br /> <br />~ :~~::':AL 1$ VALUATION OF MECHANICAL INSTALLATION ~;"J I j) <br /> <br />D GAS SPECIALTY D OTHER -~-U~ <br />FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES DNO .7 <br /> <br /> <br />.......".,1...111...'.1""""..1111....111'.1'11'.''.'111111'11111..'.'.'.1"'1"'1111111111'1'..11111111'...'1111"."""""'111111111.'111. <br /> <br />I <br />I <br />I <br />I <br />I <br /> <br /> <br />Address License # I <br /> <br />MECHANICAL I COMPANY I <br />SIGNATURE . REGISTERED Y I N FEE CURRENT Y I N <br /> <br />Add"," ~ U"'"". I <br />OTHER ~ COMPANY It}.CCll.fl.-k. M- .r~S~(l'\SJIrt Co. I <br />SIGNATURE tf~ "eG"""",O I Y I N I '''' C"RROO l fiN I <br />II J J 1~1~~:~~:II~I~1.~~I~((!.1 ~~ ~~~~erll:~ I ~!.71 ~~J IIIII! 11111 J 11III11111111 ~:~~~~~I~IIIII~~J~ I~~~;~ I~~IIIIIIII.' <br /> <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, Stormwaler Plans wI Silt Fence installed, <br />Sanitary Facilities & 1 dumpster; Site Work 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) 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 />Attach (2) sets of Engineered Plans, <br />....PROPERTY SURVEY required for all NEW construction, <br />11I1I1111111111111111111111111111111111111111111111111I1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <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 <br /> <br />JOB ADDRESS <br /> <br />\fi~ <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />DESCRIPTION OF WORK <br /> <br /> <br />DEMOLISH <br /> <br />OTHER <br />STEEL <br /> <br /> <br />091"1 <br /> <br /> <br /> <br />BUILDER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />YI N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Fences (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />