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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 /> <br />I <br />I <br /> <br />(J?{!\.-v", \-.,,\ \'::, R-?':) 5l\ 2- I LOT# I : <br />PARCELID#IQ;} -.aLo -~\ -() \~() ~~ 00000 - 0\ ct ct <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE 0 <br /> <br />Date Received <br /> <br /> <br />Owner's Name "3": e s <br /> <br /> <br />Owner's Address I (0 l S ~ <br /> <br /> <br />Fee Simple Titleholder Namel <br /> <br />...0 <br />o \\\~\\-O {1 <br />\ "\. t-"'- 'b 1-. ~\'\~l(\\.\\ \ 'j <br /> <br />I <br /> <br />NEW CONSTR D ADD/ALT 0 <br />INSTALL D REPAIR <br />PROPOSED USE ~ SFR D COMM 0 OTHER <br />TYPE OF CONSTRUCTION 0 BLOCK D FRAME 0 STEEL D <br /> <br />DESCRIPTION OF WORK I 0'0'6-Q {oVG-~f)~)h-~il~t~\,~~~ {0C5() \ () Llr:'OD-\- (LOVv"C\ <br /> <br />BUILDING SIZE I SQ FOOTAGE I I HEIGHT I I <br /> <br />.'111..'.....111..11....111..111..11...1111...111..111.......................11..............'"1..11..1..................1111....11.11.11111111.1111 <br /> <br />D BUILDING 1$ :2 Of} () <br /> <br />D ELECTRICAL I$! tftJ <br /> <br />D PLUMBING 1$ <br /> <br />D MECHANICAL 1$ <br /> <br />D GAS 0 <br />FINISHED FLOOR ELEVATIONS I <br /> <br />Fee Simple Titleholder Address I <br /> <br />1(o{S-~ <br />I <br /> <br />l vt\: '" e> t- <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />~ <br /> <br />DEMOLISH <br /> <br />OTHER I <br /> <br />AMP SERVICE <br /> <br />VALUATION OF TOTAl CONSTRUCTION <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />D <br /> <br />W.R.E.C, <br /> <br />OTHER <br /> <br />u-fJett- <br />~~C/ <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />ROOFING <br /> <br />D <br />I <br /> <br />SPECIALTY 0 <br />FLOOD ZONE AREA <br /> <br />BUILDER <br />SIGNATURE <br /> <br /> <br />Address <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br />11I1111II111111 1I1I1111I111111111111111111111111111111111111111111111I1I1I1III1111111111111111111111111111111111111111111111111111111111111111111 <br /> <br />DYES <br /> <br />DNO <br /> <br />1/0tr7e- <br />Y I N I <br /> <br />()W/lP.-1 <br />FEE CURRENT I Y I N <br /> <br /> <br />Y/N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> License # <br />YI N FEE CURRENT <br /> License # <br /> <br />Y/N <br /> <br />Y/N <br /> <br />Y/N <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 onsile, Construction Plans, Stormwater Plans wI Silt Fence installed, <br />Sanitary Facilities & 1 dumpster; Sile 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 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 />11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <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 />