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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />) <br />Z/ - 41/ <br /> <br />Owner Phone Number 181.5 - l1B'eJ - )4481 <br /> <br />Owner Phone Number I 1 <br /> <br />3354/1 <br />S7Rre fLD Gl1 Z-e'PH'1RHJ~. PLI LOT # 1 I <br />. <br /> <br />PARCEL ID#I/{)- ;)/;-,;} J- tJ()IO - /;;8/)/)-OD? 0 1 <br />(OBTAINEO FROM PROPERTY TAX NOnCE) <br />~ SIGN D MOVE D <br /> <br />D OTHER <br />D STEEL <br /> <br /> <br />Fax-813-780-0021 <br /> <br />j( 1q5f <br /> <br />Owner's Name <br /> <br /> <br />Date Received <br /> <br />ST. <br /> <br />1 <br />1 <br />ZEPJf4JiJfIU'5/ FL <br /> <br />Fee Simple Titleholder Address 1 lilt; 5 3 <br /> <br />U>lI~r~r: <br /> <br />JOB ADDRESS <br /> <br />13'1969 <br />I <br /> <br />I <br /> <br />D NEW CONSTR D <br />D INSTALL D <br />DSFR D <br />D BLOCK 0 <br /> <br />//IISI1JU /f)bltltJl'J1E11Yr ~I <br /> <br />1 SQ FOOTAGE Lk.1- '&:l <br /> <br />ADD/ALT <br />REPAlR <br />COMM <br />FRAME <br /> <br />DEMOLISH <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />ROOFING <br /> <br />I <br />1 <br />I <br />1 <br />o <br /> <br /> <br />OTHER I <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />BUILDING <br /> <br />I$~ <br />, <br /> <br />1$ <br />1$ <br />1$ <br />D <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />l/5D, Pi) <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D ELECTRICAL <br />D PLUMBING <br />D MECHANICAL <br />D GAS <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />Address <br /> <br /> <br />SPECIALTY D OTHER <br />FLOOD ZONE AREA DYES DNO <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />ELECTRICIAN I <br />SIGNATURE <br /> <br />Address I <br /> <br />PLUMBER I <br />SIGNATURE <br /> <br />I <br /> <br />COMPANY I;fP~ tZ,lbAJ + I}WAJI/'f:b J 4-e: <br />REGISTERED I 'y IN I FEE CURRENT ~ bl 5 (J <br />.. '7 t- J FI.. License # I tfJLA / J gt;) I · <br /> <br />I COMPANY I 1 <br />REGISTERED Y / N FEE CURRENT ~ <br />I <br />1 <br />I <br />I <br />I <br />I <br />I <br /> <br />License # <br /> <br />BUILDER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />~ <br /> <br />Address <br /> <br /> <br />MECHANICAL I <br />SIGNATURE . <br /> <br />Address I <br /> <br /> <br />OTHER I <br />SIGNATURE <br /> <br />Address I <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y / N <br /> <br />FEE CURRENT <br /> <br />~ <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/ N <br /> <br />FEE CURRENT <br /> <br />~ <br /> <br />License # <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) worldng 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 />Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-Q-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 />Attach (2) sets of Engineered Plans. <br />-"PROPERTY SURVEY required for all NEW construction. <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <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 $50001 <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 />Driveways-Not over Counter if on public roadways..needs ROW <br />