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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 />.Date IJecelved <br /> <br />Owner's Name J l.,~ \ C Q. 00 vV <br />Owner's Address I 3 7 J S- l fox I[ (..'\. Y\ <? L <br />Fee Simple Titleholder Namel <br /> <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />JOB ADDRESS <br /> <br />Fee Simple Titleholder Address I <br /> <br />I "3 7 ~)l <br />I <br /> <br />FoX-v'-\. VI <br /> <br />fL <br /> <br />2h.lls <br /> <br />(-=I <br /> <br />LOT # <br /> <br />03- Llo-'L/ -.012.....<) ~G()Ol:::)o-o<{~1 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />WORK PROPOSED <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />I <br /> <br />B <br />D <br />D <br />'"2 gr- St <br /> <br />SQ FOOTAGE I <br /> <br />PARCEL ID#I <br /> <br />SUBDIVISION <br /> <br />B <br /> <br />PROPOSED USE D <br />TYPE OF CONSTRUCTION D <br /> <br />DESCRIPTION OF WORK I f!.< VI) i) -f- <br /> <br />I <br /> <br />. . 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 I I . . . I I I . . . I I . . I I . . . . . I II I . I , . . . . I I , . I . , . . I f I I I . . . I I I I I I I I I I I I I I I I I I . , <br /> <br />1$ ~ 400, 0 () I <br /> <br />D ELECTRICAL 1$ I <br /> <br />D PLUMBING 1$ I <br /> <br />D MECHANICAL 1$ I <br /> <br />D GAS ~ ROOFING D SPECiALTY D OTHER <br /> <br />~,'~'~~~,: ,~~:~ ,~~~~~:~~~,!".,""""',...,""",..,,!,'" ,~~:~ ~~~~,~~:,"'" .~:,~~"" ,r:~~.""~?~:",, , <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br />FRAME <br /> <br />D <br />D <br />D <br /> <br />DEMOLISH <br /> <br />OTHER <br />STEEL <br /> <br />I <br />D <br /> <br />vJ( <br /> <br />~ 3 0 yq V <br />I HEIGHT I <br /> <br />b J4:r <br /> <br />I <br />I <br />T [' VV1. bey l { 'v<..-( I <br /> <br />I <br /> <br />OTHER I <br /> <br />BUILDING SIZE <br /> <br />o <br /> <br />BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />./ <br /> <br /> <br />VALUATION OF MECHANICAL INSTAW\TI( <br /> <br />..~/'''; <br /> <br /> <br />D <br /> <br />BUILDER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED Y/N FEE CURRENT Y/N <br /> License # <br />COMPANY <br />REGISTERED I Y / N FEE CURRENT Y/N <br /> License # <br /> <br />Address <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y / N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y /N I. <br /> <br />License # I <br /> <br />I / ~'~ ~:;~~ Vl ~~ N~~ <br /> <br />License # I (.fro>? 7 F7 <br /> <br />Address <br /> <br />OTHER ~~~ I COMPANY <br />SIGNATURE ~. . REGISTERED <br />Address 13 7/S 1 ('V 330l0jll5L (26~K/(r-V <br /> <br />111111I11111111111I11111111I111I1111I111111II1111I11111II1I11111I1111I1II111I11111I111111I1111II1111I1I111111111111I111111111111111111111111111111 <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 on site, Construction Plans, Stormwater Plans w/ 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 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 />I111111111111111111I11111I1I111111111111111I1I11111I111111111111111111111I11111111111111111111111111111111111111111111I1111111111I1111111111111I11 <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 A/C <br /> <br />Fences (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />