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<br />~13-780-0020 <br /> <br />City of Zephyrhills Permit Application /l.,(( I _ <br />Building Department \.(J lP <br /> <br />Fax-813-780-0021 <br /> <br />Date Received <br /> <br /> <br />Owner Phone Number <br /> <br />Owner Phone Nu~ber I <br />Owner Phone Number I <br /> <br />Owner's Name <br /> <br />Owner's Address 2 <br />1OI~ Wl/ fl. 31R I'; I <br />Fee Simple Titleholder Name <br /> <br /> <br />LOT # <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />PARCEL 10#1 <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE CJ DEMOLISH <br />..I tVf E: ~o r2. 'DE('f1o~T, 0 ~ <br />I <br />I <br /> <br />I <br /> <br />OTHER <br /> <br />WORK PROPOSED <br /> <br />E3 <br /> <br />PROPOSED USE . D <br />TYPE OF CONSTRUCTION D <br /> <br />DESCRIPTION OF WORK I <br /> <br />ING SIZE I ~ 5'D <br /> <br />1$ I~CD <br />1$ <br />1$ <br />1$ <br />D <br /> <br />FINISHED FLOOR ELEVATIO~S I <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />CJ <br />D <br />o FRAME. . D STEEL D <br />:J;v.. bv; crY" ~ 0' ~ +. ~V1 s. <br />I SO FOOTAGE I I HEIGHT I . <br /> <br />E3 <br />D. <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br /> <br />OTHER I <br /> <br />()~ L~ <br /> <br /> <br />D <br /> <br />ROOFING <br /> <br />I <br />I <br />I <br />I <br />D <br />I <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D <br />o. <br />o <br /> <br />ELECTRICAL <br /> <br />PLUMBING <br /> <br />MECHANICAL <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />GAS <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />OTHER <br />DYES <br /> <br />DNO <br /> <br />BUILDER COMPANY '\ t>~ ~\{4tJ f Wk (LfJ A ri" ~ /rL l,..c <br />SIGNATURE REGISTERED FEE CURRENT Y/N <br />Addres.s 1..2\ Sf $ov-it.t~'(V\ . CJ~{c., L-.t'\A... ~~ (41IAJ ft.1 License # Cq.C I C;oq2..1 s-t <br />ELECTRICIAN I I COMPANY I <br />SIGNATURE REGISTERED I Y/N FEE CURRENT Y/N <br />Address I License # I <br />PLUMBER I COMPANY I <br />SIGNATURE REGISTERED Y/N FEE CURRENT Y/N <br />Address I License # I <br />MECHANICAL I COMPANY I <br />SIGNATURE REGISTERED Y/N FEE CURRENT Y/N <br />Address I License # I <br />OTHER I COMPANY I <br />SIGNATURE REGISTERED YI N FEE CURRENT Y/N <br />Address I License # I <br /> <br /> <br /> <br /> <br />111111111111111111111111111111111111111111111111111' 1111111111111111111111'" 111111111111' 1111111111111111111111111111111111' 111111111111111111111 <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 subdivlsionsllarge 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 onslte, 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 />111111111111111111111111111111111111111111111111111111111111111111111111111111 i 111111111111111111111111111111111111111111 i 111111111 i i II i III1I11111 <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 cqntractor) 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 (Plol/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />