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<br />Owner's Address <br /> <br /> <br />Owner Phone Number $/3- 78]-6/8 c; <br />Owner Phone NIJmber I <br />Owner Phone Number I <br /> <br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application Sf, fcJL <br />Building Department e;o <br /> <br />Date Received <br /> <br />Owner's Namd <br /> <br />FeeSimpleTitleholderAddress I 7C.750 GI"tI-I.-.. lJiv'c:Y. 2- -ft,/-I-s /M. <br /> <br />I 3[3;23 3 .oAI~h/tU'] R,() <br /> <br />I PARCEL ID#ldS-;< tJ-dl -t'JO/O -/dJOO-OOCJD <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />~ ADD/AL T D SIGN [:J MOVE D <br />t=1 REPAIR <br />: vf COMM D OTHER [ <br />FRAME D STEEL [:J <br /> <br />JOB ADDRESS <br /> <br />LOT # <br /> <br />SUBDIVISION <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />B <br />D <br />D <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br /> <br />DEMOLISH <br /> <br />WORK PROPOSED <br /> <br />BLOCK <br /> <br />OTHER I <br /> <br />DESCRIPTION OF WORK <br />BUILDING SIZE 1-7'';- <br />D BUILDING 1$ O?, ?Co. a~ <br />GiJ ELECTRICAL 1$ <br />D PLUMBING 1$ <br />m MECHANICAL 1$ <br />D GAS D ROOFING <br />FINISHED FLOOR ELEVATIONS I <br /> <br /> <br />_:-~ /< t~ <br /> <br />&''If'r' <br /> <br />I <br />I <br />I <br />I <br />D <br />I <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br />~:)jt~ <br />AMP' SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />OTHER <br />DYES <br /> <br />(J) N M...)/ <br />DNo61~~~ <br /> <br />'5 t , <br />I . <br />if- <br /> <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />BUILDER <br />SIGNATURE <br /> <br /> <br />VELECTRICIAN <br />~ SIGNATURE <br /> <br />~~ <br /> <br />It~J <br /> <br />1,-, <br />'3 .- .~'-' <br />C~PANY I <br /> <br />REGISTERED <br /> <br />Address <br /> <br />License # <br /> <br />N?0 <br />I Y / N I 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 <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />~ MECHANICAL <br />-1\ SIGNATURE <br /> <br />~~ <br /> <br />Ju <br />~~pi:y I <br /> <br />REGISTERED <br /> <br />I <br /> <br />Address <br /> <br />License # <br /> <br />/Y}/tS 19 V <br />I Y / N 1 <br /> <br />47.4:-/.aL '\ <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />OTHER <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 />111111111111111111111I11111111111111111111111111111111111111111111111111I1111111111111111111111111111111111111111111111111111111111111111111111111 <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 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 />11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <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 />Driveways-Not over Counter if on public roadways..needs ROW <br />