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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 />Owner's Name M; ~ K <br />Owner's Address I 4{1 L/ q <br />Fee Simple Titleholder Namel <br /> <br /> <br /> <br /> <br />Date Received <br /> <br />5L."::' <br />loTh ~ S-,- <br /> <br />Fee Simple Titleholder Address <br /> <br />JOB ADDRESS SAM.e . LOT # <br />SUBDIVISION I PARCEL ID#I <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED E3 NEW CONSTR ~ ADD/AL T 0 SIGN D MOVE 0 DEMOLISH <br /> INSTALL REPAIR <br />PROPOSED USE rn SFR D COMM 0 OTHER I <br />TYPE OF CONSTRUCTION 0 BLOCK D FRAME 0 STEEL D OTHER I <br />DESCRIPTION OF WORK I /tIc C h 1Ws,"- r t.( 1:: i~ <br />BUILDING SIZE I HEIGHT I <br /> SQ FOOTAGE <br /> <br />. . I I I I . I . I I , . . . I I . . . I I I . . I I . I . I I , . . . I I I . . I . I . . . . . . . I I . . . I I . I . . . I . . . . . I I . . . . . . I . I . . . I . I . . . . . I ... . . I . I II I . . . . . . . . . . I . I . . . . . . . . I . I I I I I I . . I I I . I I I . I I . I I <br /> <br />D BUILDING 1$ I VALUATION OF TOTAL CONSTRUCTION <br />D ELECTRICAL 1$ I AMP SERVICE D PROGRESS ENERGY D W.R.E.C <br />D PLUMBING 1$ I <br />m MECHANICAL 1$ 3t.t 8.s.00 I VALUATION OF MECHANICAL INSTALLATION <br />D GAS 0 ROOFING D SPECIALTY 0 OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />."..111'....'11.."111.'....11'1.'.11...11.".....,...."..11'...'11...'....,...,'...'.11"..'1'..'......111""1'11","""1"'1'1"'11"'1"" <br /> <br />COMPANY <br />REGISTERED <br /> <br />BUILDER <br />SIGNATURE <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 />I Y / N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />c:~, l. <br />,,~~,)U<- \ <br /> <br />vt::, <br /> <br /> <br />License # I <br /> <br />14,',zkch Se~tljtt~ [IV': <br />I Y / N I FEE CURRENT I Y / N I <br />License # I (/l( )$/ s VC;'!?' <br /> <br />Address <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />Address 3Cjd,. 4<5 <br /> <br />OTHER I <br />SIGNATURE <br /> <br />Address I <br /> <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />111111111111111111111111111111111111111111I111111111111111111111111111111111111111111111111111111111111111111I1II111111111111111111111111111111111 <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 dijp 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 />11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I11111I1111111111111I <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 (PloUSurvey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />