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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br /> <br />Fax-813-780-0021 J <br /> <br />/V1~iir~ <br />qq 1"' {4lj (p <br /> <br />Date Received <br /> <br /> <br />/.L~~ <br />,;.{) f4 J /-I<<f <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Namel <br /> <br />D <br />D <br />D <br />D <br /> <br />Fee Simple Titleholder Address I <br /> <br />I S 00 9 tJ.() -).f <br />I &:-":J ~ z -J/.L 'j iJ <br /> <br />~ <br /> <br />PROPOSED USE D <br />TYPE OF CONSTRUCTION D <br /> <br />DESCRIPTION OF WORK I <br /> <br />IIYk~l/' <br /> <br />rtj.", '~~I'~~;~~'" ,.". '(;'" ~,. ~~~' '~~"" ... 'j"" .~~~~~~;~~ '~~'~~~;~ ~~~~~~~'~~'I~~""""'" ,."", 1"1 ,.. ,. ,...""""", <br />1$ I <br />1$ I <br />1$ I <br /> <br />D ROOFING 0 <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br />FRAME <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br /> <br />C (i rp tTr.,l- ~ <br />I SQ FOOTAGE I <br /> <br />~-f <br />I <br /> <br />B <br />o <br />o <br /><.ffLb <br />33' tf <br /> <br />PARCEL 10# <br /> <br />1/ -tU -,)./ -oOJcJ.. ,J/I{)O - iJ/a <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />D <br />D <br />D <br /> <br />DEMOLISH <br /> <br />OTHER <br />STEEL <br /> <br />I <br />D <br /> <br />OTHER I <br /> <br />HEIGHT I <br /> <br />BUILDING SIZE <br /> <br />ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />PLUMBING <br /> <br />MECHANICAL <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />GAS <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />OTHER <br /> <br />BUILDER <br />SIGNATURE <br /> <br /> <br />q.l~ <br /> <br />CA- <br />A-ty;flrf <br /> <br />I J " I. . COMPANY I Act.. 4twn. rt- ~tJNf. /...L.C. <br />~ I J REGISTERED I Y I N I FEE CURRENT I Y I N I <br /> <br />led z --Jt./IJ ,1='1 ~ License # I <br /> <br /> <br />I ;~:~:R~~ II Y I N <br /> <br /> <br />DYES <br /> <br />DNO <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />Address <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Address <br /> <br /> License # <br />Y I N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> License # <br />YI N FEE CURRENT <br /> License # <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <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 />11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <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 onsile, Construction Plans, Stormwater Plans wi Silt Fence installed, <br />Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisionsllarge 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 wi 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 />I1111111111111111111111111111111111111111111111111111111I11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <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 /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />