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<br />JOB ADDRESS <br /> <br />6/ Il/ . <br /> <br />PhoneContactforPermitling 1I.0J .. L.. ~~. ........ tft BB3 <br />. . '''e ....~ ...... '::~;:ne;~:~~~u~~e~l~/ ~ ii~Ll~L,51 <br /> <br /> <br />Owner Phone Number I I <br /> <br />OWner Phone Number I I <br /> <br /> <br />Fee Simple Titleholder Address I I <br /> <br /> <br />i~\;~a ~~h~~,~1 ~cJcl~ILfXY.XJl;;;)lXJJ <br /> <br />(CBTA FR PROPERTY lAX NOTICE) I <br /> <br />E3 NEWCONSTR ~ ADDIALT D SIGN D MOVE 0 DEMOLISH <br />INSTALL D REPAIR <br /> <br />D SFR CJ COMM D OTHER I <br /> <br />D BLOCK D FRAME Q STEEL D <br /> <br />LLt af-.Q./\ ~ ~1~ <br /> <br />I 50 FOOTAGE I I HEIGHT I <br /> <br /> <br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-B13-7BO-0021 <br /> <br />Date Received <br /> <br />OWner's Name <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />DESCRIPTION OF WORK <br /> <br />OT;t <br />rrt . <br /> <br />BUILDING SIZE <br /> <br />~ <br /> <br />.~ <br /> <br />0 BUILDING 1$ I <br />0 ELECTRICAL 1$ I <br />91 PLUMBING 1$ <500. CD I <br />0 MECHANICAL 1$ I <br />0 GAS D ROOFING D <br />FINISHED FLOOR ELEVATIONS I I <br /> <br />V ALUA TION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />CJ <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />WRE.C. <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY D OTHER <br />FLOOD ZONE AREA DYES <br /> <br />DNO <br /> <br />~~,.. <br /> <br />~:.:::::::::::EE.....-..,....~ <br /> <br />BUILDER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />L.!..!..!LJ <br /> <br />FEE CURRENT <br /> <br />~ <br /> <br />Address <br /> <br />ELECTRICIAN I <br />SIGNATURE . <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />~ <br /> <br />FEE CURRENT <br /> <br />~ <br /> <br />PLUMBER <br />SIGNATURE <br /> <br /> <br />Address <br /> <br />MECHANICAL I <br />SIGNATURE . <br /> <br />Address I <br /> <br />OTHER I <br />SIGNATURE <br /> <br />Address I <br /> <br />COMPANY <br />REGISTERED <br /> <br />L1.1.J::LJ fEE CURRENT <br /> <br />L.:!..L.!LJ <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />~ FEE CURRENT <br /> <br />LrJ.!W <br /> <br />~:-~ ~ <br /> <br />License # <br /> <br />~_-r::. <br /> <br />-~=-""P=~~~:-"",","""-,- <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 submillal date. Required onsile, Construction Plans, Stormwater Plans wi Sin Fence installed, <br />Sanitary Facilities & 1 dumpster; Site 'Nork Permit for subdivisions/large projects <br />Attach (3) complete sets of Building Plans plus a life Safety Page; (1) set Df Energy FDrms. R-O-W Permit fDr new constructiDn. <br />Minimum ten (10) "",rking days after submillal date. Required Dnsite, CDnstructiDn Plans, StDrmwater Plans wi Si~ Fence installed, <br />Sanitary Facihties & 1 dumpster. Site V\brk Permit for all new projects. All commercial requirements must meet compliance <br />Attach (2) sets Df Engineered Plans <br />'-'PROPERTY SURVEY reqUired for all NEW construction. <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Fill out application completely. <br />ONner & Contractor sign back of application, notarized <br />If over S25Oll, a Notice of Commencement is required. lAIC upgrades Dver $5000) <br /> <br />Agent (for the contractor) or Power of Attorney (for the OWT'Ier) VlIOuld be someone wn-h notarized Jetter from oVtlner authorizing same <br /> <br />OVER THE COUNTER PERMITTING (Front 01 App~cation Only) <br />Reroofs Sewers Service Upgrades Ale <br />Of,veways-Not over Counter if on public roadways.. needs ROW <br /> <br />Fences (PlotlSurvey/FDDtage) <br />