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<br /> <br />Fee Simple Titleholder Address I <br /> <br />Ib~~~ <br />I <br /> <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNo <br />IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII~IIIIIIIIIIIIIIIIII111'1 11I11II1II1II1II1I1I1I11II11I1I11I1I1II1I~1I111111111 1111111I11I11111111I111I111111111111 11I111I1111111111111I1111I11I11111111I111111111111111111111111111111111111111111I11111111111 <br />~~~~RE ~ ~aP.1 ~~= I f~et'r;, ..,~;~~, C~'t: I <br /> <br />Address 70' S. L r'f')'\&'f'- lQc-<, f>f'o€Jk.'5 v"/~ I rL 1-::> \.((::,0 ( license # I e:...5 0000 L(( ., <br />, <br /> <br />COMPANY I <br />REGISTERED <br /> <br />813-780-0020 <br /> <br />Date Received <br /> <br />OWner's Name <br /> <br />JOB ADDRESS <br /> <br />SUBDMSION <br /> <br />WORK PROPOSED <br /> <br />PROPOSED USE <br /> <br />TYPE OF CONSTRUCTION <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />IIJII <br /> <br />IIlIlJJII <br /> <br />0 BUILDING <br />0 ELECTRICAL <br />0 PLUMBING <br />CJ MECHANICAL <br />0 GAS <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />rf 11fof <br /> <br />Fax-813-780-0021 <br /> <br /> <br />OWner Phone Number <br /> <br />OWner Phone Number I <br /> <br />OWner Phone Number I <br /> <br />l11~c~ Uetu LV <br />(VA <br /> <br />In JccJ. <br /> <br />V" ev <br /> <br />L"-l <br /> <br />PARCELIDlI6;;J -;;,--,.21-0.;110 -a:;:..oo .-oo~O <br />(OBTAINED FROM PROPERTY TAX NOnCE) <br />ADD/ALT ~SIGN D MOVE 0 <br />REPAIR <br /> <br />LOT' <br /> <br />I <br />B <br />o COMM 0 <br />o FRAME 0 <br /> <br />l:flt 74 cvlJL fUo{\ TI{u,If,f1k/ <br /> <br />SQ FOOTAGE I <br /> <br />B <br />o <br />o <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br /> <br />BLOCK <br /> <br />DEMOLISH <br /> <br />OTHER I <br />STEEL D <br /> <br />4_Hi.A 51? 1'\ <br />. <br /> <br />I HEIGHT I <br /> <br />OTHER I <br /> <br />11111111I <br /> <br />Ill] <br /> <br />1111I <br /> <br />1J1lllIl <br /> <br />111I1 <br /> <br />IIJ1IJ <br /> <br />IIII' <br /> <br />111111 <br /> <br />1111111I <br /> <br />1Il1l <br /> <br />1$ \~()~ .DC <br /> <br />1$ <br />1$ <br />1$ <br /> <br />o ROOFING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o <br /> <br />D <br /> <br />AMP SERVICE <br /> <br />PROGRESS ENERGY <br /> <br />WR.E.C. <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />o <br /> <br />SPECIALTY 0 <br /> <br />OTHER <br /> <br />ELECTRICIAN <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 />Y/N FEE CURRENT <br /> license' <br /> <br />Y/N <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />Y/N <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 />Y/N <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />RESIDENTIAL <br /> <br />II <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 submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br />Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisionsllarge projects <br />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 />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 $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 />Driveways-Not over Counter if on public roadways..needs ROW <br />