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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 />Date Received <br /> <br />Owner's Name {,( f.-, <br /> <br />jyt _.r4t? ~ <br /> <br />j:)>-- <br /> <br />Owner's Address 37/ t)..3 <br />Fee Simple Titleholder Namel f4- t(' L- <br />, <br /> <br />(?Al-yI3ff61 +-#5 <br /> <br />Fee Simple Titleholder Address I ,?", ~ m e <br /> <br />~J <br /> <br />~ 5~'v ff <br /> <br />JOB ADDRESS <br /> <br />? f'/t> ~ <br /> <br />~~~/L <br /> <br />/7 :;-- <br /> <br />LOT # <br /> <br /> I PARCEL 10#1 <br />~ NEW CONSTR B ADD/AL T D <br />INSTALL REPAIR <br />I.......' SFR D COMM D <br />D BLOCK D FRAME D <br />I {.' 1tA-~1f'C .A!-/v --.- <br />?,?l 7- u ,;.<1 J <br /> , <br />jL 5'~ I sa FOOTAGE I / 2j-tJ CP <br /> <br />SUBDIVISION <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D DEMOLISH <br /> <br />WORK PROPOSED <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />OTHER I <br />STEEL D <br /> <br />OTHER I <br /> <br />..;.-- I- h ~r ;-r,>.5'r"/lZ --r- <br /> <br />HEIGHT I <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />..111..'.'.-'....,....'.'..1111.111...111......11.'...11..1111..111...111..'1111....1111..1111....111..........IIIII.....IIII.'...'.'.....r....11111 <br /> <br />1~7 <br /> <br />0 BUILDING 1$ I VALUATION OF TOTAL CONSTRUCTION <br />0 ELECTRICAL 1$ I AMP SERVICE D PROGRESS ENERGY 0 W.R.E.C <br />D PLUMBING 1$ I <br />D MECHANICAL 1$ f"t1?'G5~ ~ I VALUATION OF MECHANICAL INSTALLATION <br />0 GAS D ROOFING D SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />1111"11,'1""11""1""1'1'1,...,"111'111111'1"'1.."...111'...111111'1....'.111.'11111....."......".'1'1"'1'1111"'11""'11'11'11'1'111' <br /> <br />BUILDER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <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 />ELECTRICIAN <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />COMPANY <br />REGISTERED <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />Y/N <br /> <br />00 '? fP----- <br /> <br />COMPANY <br />REGISTERED <br /> <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />111111111111111111111111111111111111111111111111111111I111111111111111111111111111111111111111111111111111111I11111111111111111111111111111111111I <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, Stormwater Plans w/ Silt Fence installed, <br />Sanitary Facilities & 1 dumpster; Site 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 w/ 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 />111111111I111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I111111111111111111111111111 <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. (A1C upgrades over $5000) <br /> <br />Agent (for the ccmtractor) 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 />