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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />*' ~o 71 <br /> <br />Fax-813-780-0021 <br /> <br />Date Received <br /> <br /> <br />Owner's Name 'c ha",. <br /> <br />Owner's Address 1s-343 <;;:L. .6""3 tf I <br />Fee Simple Titleholder Namel <br /> <br />/0 7A s..,L <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number 171? 2- <br />Owner Phone Number I <br /> <br />JOB ADDRESS <br /> <br />Fee Simple Titleholder Address I <br />153'13 + ::;-31./) <br />I <br /> <br />WORK PROPOSED <br /> <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />If) '7). <br /> <br />I <br />B <br />D <br />D <br /> <br />-5~ I LOT # I <br /> <br />PARCELlD#I/I-2~ -2/-o:JIO -IS/Q:J -00'-10 <br />(08T AINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />SUBDIVISION <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br />FRAME <br /> <br />DEMOLISH <br /> <br />OTHER <br />STEEL <br /> <br />~;An~~~:~ <br /> <br />DESCRIPTION OF WORK <br /> <br />'3/, <br />~ <br /> <br />BUILDING SIZE <br /> <br />1$ <br /> <br />1$ <br /> <br />1$ <br /> <br />1$ <br /> <br />c:J GAS D <br />FINISHED FLOOR ELEVATIONS I <br /> <br />c:J BUILDING <br />c:J ELECTRICAL <br />c:J PLUMBING <br />c:J MECHANICAL <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />ROOFING <br /> <br />I <br />I <br />I <br />I <br />D <br />I <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY D OTHER <br />FLOOD ZONE AREA DYES <br /> <br />DNO <br /> <br />IIII' I . . , . I I . II I I . . I I , I I , , , I I I I I I I , . . . I P , , . . . , n III . . . .. ,. I " 1 , . I . . I . . . " III , II 1111111111111 . . .. , I . . " 11111 . . . . I . .. I .. , p . . . , " " II . . .. , . . . . . . , " II <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 />Address I <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 />COMPANY <br />REGISTERED <br /> <br />Y / N FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />Address <br /> <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />OTHER <br />SIGNATURE <br /> <br /> <br />License # <br /> <br />Address <br /> <br />I11111111111111I111111111111111111111111111111111111111111111111111111111111111111111111111I1111111111111111111111111111111111I1111111111111111111 <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 onsite, 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 />11111I11111111111111111111111111111111111111111111111111111I111111111111111111111111111111111111111111111111111I1I11111111111111111111111111111111 <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 <br /> <br />Fences (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />