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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 />.#7S11 <br /> <br />Date Received <br /> <br /> <br /> <br />Owner's Name S- Y LV) ;4- <br />Owner's Address I fit) 2.'< /6 f-!- <br />Fee Simple Titleholder Namel <br /> <br /><;...~ . <br /> <br />JOB ADDRESS <br /> <br />Fee Simple Titleholder Address I <br /> <br />10 Le- <br />I <br /> <br />DESCRIPTION OF WORK <br /> <br />B <br />o <br />o <br />I~o <br /> <br />I ~I-'-- c;Sl. LOT # <br /> I PARCEL ID#I <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br />NEW CONSTR E3 ADD/AL T D SIGN D MOVE D DEMOLISH <br />INSTALL REPAIR <br />SFR D COMM 0 OTHER I <br />BLOCK D FRAME D STEEL D OTHER I r;. ~~ <br />4- e ~rll;L- ~C <br />I SQ FOOTAGE I 70 HEIGHT I y-' <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />BUILDING SIZE <br /> <br />I . <br /> <br />....11..11111.."'...11..11..111.'11.....111....11............111........'.'11........11..........11..............1111...11111.."...............11 <br /> <br />D BUILDING 1$ rf IDt) c:!!- I VALUATION OF TOTAL CONSTRUCTION <br />D ELECTRICAL 1$ I AMP SERVICE D PROGRESS ENERGY 0 W.R.E.C. <br />D PLUMBING 1$ I <br />D MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION <br />D GAS D ROOFING D SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNo <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N FEE CURRENT <br /> License # <br />Y I 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 />~C'I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />BUILDER <br />SIGNATURE <br /> <br />~- r2./~ <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y IN I' <br /> <br />Address <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />111111111111111 1I1111111111111111111111111111111111111111111111111111I111111111111111111111111111111111111111111111111111111111111111111111111111 <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 wi 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 wi 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 />I111II11111111111111111111I11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I111I111111I111111111 <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 />