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<br />813-780-0020 <br /> <br />Date Received <br /> <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Namel <br /> <br />Fee Simple Titleholder Address <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />DESCRIPTION OF WORK <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br /> <br />1-0 tv f.- II K(J..y <br />55) 7 8 rh -.5 1- , <br /> <br />S6/7 rrfhsL <br /> <br />I LOT # I 7 ~ <br /> <br />/ 1- 1. {, - z. J - b (J ) tJ .-./ !; Cff~~ - () {) I 0 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br /> <br />B <br />~ <br />I <br /> <br />I <br /> <br />~ <br />D <br />D <br />;!O-./fu:" ( /4.rCJ~+- <br />SQFOOTAGEI fio r;1r <br /> <br />PARCEL ID#I <br /> <br />D SIGN D MOVE D DEMOLISH <br />D OTHER I <br />D STEEL D OTHER I <br /> HEIGHT I <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br />FRAME <br /> <br />BUILDING SIZE <br /> <br />I ., . . I I , . , I I I I P , 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 . . I I I . . . . . I . oJ . . . . . , I , I . . . . . . , I I I . . . . . I I I I I I I . I I . . I . r . . . I ~ , <br /> <br />D BUILDING <br /> <br />D ELECTRICAL <br />D PLUMBING <br /> <br />D MECHANICAL <br /> <br />D GAS <br /> <br />FINISHED FLOOR ELE <br /> <br />BUILDER <br />SIGNATUR <br /> <br /> <br />Address <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />1$ <br />1$ <br />1$ <br />1$ <br />D <br />NS I <br /> <br />(6CJO <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D <br /> <br />D <br /> <br />AMP SERVICE <br /> <br />PROGRESS ENERGY <br /> <br />W.R.E.C. <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />D <br />I <br /> <br />ROOFING <br /> <br />SPECIAL TV D OTHER <br /> <br />FLOOD ZONE AREA DYES <br /> <br />DNO <br /> <br /> <br />f~~f~EC~~'T <br /> <br />License # I C~ G 05151 J Y <br /> <br />COMPANY <br />REGISTERED <br /> <br />I Y/ N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />PLUMBER <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 /> <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 />II111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <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 subdivisions/large projects <br />COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safely 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 />111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I1111111111111111111111111111111111111 <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 NC 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 />