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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />iaX-O 1..)-/ OV-UVL I <br /> <br />Date Received <br /> <br /> <br />~ Owner Phone Number <br /> <br />~ Ou,'oorr,/ C* ~~Jir;l. Owne<PhoneNumbe,1 <br /> <br /> <br />Owner Phone Number I <br /> <br /> <br />Owner's Name ~ <br /> <br />Owne_e Addm.. l5gJr <br /> <br /> <br />Fee Simple Titleholder Name <br /> <br />Fee Simple Titleholder Address I <br /> <br />JOB ADDRESS <br /> <br />Sq2-3 <br /> <br />AleLJ berry <br /> <br />CT I ~# I <br />PARCEL ID#I \0 -~h.~1-6IdO - Oa:xf) - OO\~O <br />(OBTAINED FROM PROPERTY TAX NOTIPE) <br /> <br />MOVE D <br /> <br />I <br /> <br />D NEW CONSTR rl ADD/ALT D SIGN D <br />D INSTALL D REPAIR e.Q-v-rx:f- <br />PROPOSED USE CJ SFR 0 COMM D OTHER I <br />TYPE OF CONSTRUCTION D BLOCK D FRAME D STEEL D <br /> <br />DESCRIPTION OF WORK I~ Q -n:x,t- .;?, YIX) ~. h OJ Q..- <br /> <br />BUILDING SIZE I SQ FOOTAGE I ~. HEIGHT I I <br />111'1'....11."'1111'.""'11'11111111.11""111'.'."P"'IIIIIII"IIIII""""II"'IIIIIIII"IIIIIII'I,.,'11""""""."'11111111111111111111' <br />o BUILDING 1$ 4~ m ~ I <br /> <br />1$ I <br />1$ I <br />1$ I <br /> <br />D GAS D ROOFING D SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />I111111111111111111111111111111111111111111111111111111111111111111111I111111111I11111111111111I11111111111111111111111111111111111111111111111111 <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />DEMOLISH <br /> <br />OTHER I <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o <br />D <br />D <br /> <br />ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />WR.E.C, <br /> <br />PLUMBING <br /> <br />MECHANICAL <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />BUILDER <br />SIGNATURE <br /> <br />Address <br /> <br />ELECTRICIAN I <br />SIGNATURE . <br /> <br />Address I <br /> <br />PLUMBER I <br />SIGNATURE <br /> <br />I <br /> <br />Address <br /> <br />MECHANICAL I <br />SIGNATURE <br /> <br />OTHER <br />SI <br /> <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) working days after submittal date. Required onslle, Construction Plans, Stormwater Plans w/ Slit Fence installed, <br />Sanitary Facilities & 1 dumpster; Slle Work Permit for subdlvlslons/large projects <br />Attach (3) 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 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 />...,....11..111..,111,.1.1,...1.1....111.,111,.111....1111.11......11....11.....11.11....11.11.11......11...,...........,..11..111...111.......... <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 (Pial/Survey/Footage) <br /> <br />Driveways-Not over Counter If on public roadways..needs ROW <br />