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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />r }~r~ <br /> <br />Fax-813-780-0021 <br /> <br />JOB ADDRESS <br /> <br /> <br />Y--//t-L) ,~F'J ,?3J~t.;{) <br /> <br />Date Receive'd <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Address I 7c:J5C) 6/-7JI <br /> <br />38d 3,3 <br /> <br />LOT # <br /> <br />B <br /> <br />PROPOSED USE D <br />TYPE OF CONSTRUCTION D <br /> <br />DESCRIPTION OF WORK Od& / e ( I J L <br /> <br />BUILDING SIZE I . I SQ FOOTAGE 2 - HEIGHT /6 I - <br /> <br />[i3"'" ~~,~~;~~""'" "I'~" ';~' j;;;;' .~~'" i"'; ~;;~~~~ ~:' ~~~:~:~:~~"""""'" , .."",......""""""", <br />, I <br />1$ I AMP SERVICE D PROGRESS ENERGY D <br /> <br />I' I 0S1\kpW <br />1$ I <br /> <br />D ROOFING D <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />PARCEL ID#13j:::-025-=';< /-0010 -J.;l30o-ooo0 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />DEMOLISH <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br />FRAME <br /> <br />OTHER I <br /> <br />D <br />D <br />D <br />D <br /> <br />ELECTRICAL <br /> <br />w.R.E.C <br /> <br />PLUMBING <br /> <br />MECHANICAL <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />GAS <br /> <br />SPECIALTY D <br /> <br />OTHER <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br /> <br /> <br />"""""""""".'"""""""",."""""...""""", 11'1:1' ';1'1:)"""""""""""""""""""""""""""""'" , <br /> <br /> <br /> <br />BUILDER I d.~ 1 / J () ~ d I COM~:='NY I Srr1.iw~~rc fkL~Lrff~' ~-eIUald J_ <br />SIGNATURE ~~ a ~ ~ REGISTERED _ Y I N _ FEE CURRENT _ I N I <br /> <br />Address I - License # I I <br /> <br />ELECTRICIAN I COMPANY I <br />SIGNATURE . REGISTERED -I Y I N FEE CURRENT Y I N <br /> <br />Address I License # I <br /> <br />PLUMBER I COMPANY I <br />SIGNATURE . REGISTERED Y I N FEE CURRENT Y I N <br /> <br />I <br />I <br />I <br />I <br />I <br /> <br />Address <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />YI N <br /> <br />FEE CURRENT <br /> <br />Y IN I- <br /> <br />Address <br /> <br />License # <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />YI N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />111111111111111 111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 f <br />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 />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 />Attach (2) sets of Engineered Plans. <br />....PROPERTY SURVEY required for all NEW construction. <br />11111111111111111111111I111I11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I11I1111111111111111 <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 A1C <br /> <br />RESIDENTIAL <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Fences (PloUSurvey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />