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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />:#788f <br /> <br /> <br />Date Received <br />. f <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Namel 0~ <br /> <br />Fax-813-780-0021 <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I ~ <br /> <br />Fee Simple Titleholder Address I ~.e.- <br /> <br />I &kx9.3 N~kt\Le-J:x\V~ <br /> <br />~!~ I PARCELIDtll O~~I..o.sb~C0:50 <br />~IV~ (jQ{Gs (OBTAINED FROM PROPERTY TAX NOTICE) <br />E3 NEW CONSTR D ADD/ALT 0 SIGN D MOVE 0 <br />INSTALL LPJ REPAIR <br />PROPOSED USE 0 SFR D COMM 0 OTHER <br />TYPE OF CONSTRUCTION 0 BLOCK D FRAME 0 STEEL D <br /> <br />DESCRlPTlONOFWORK I &,p\ac \'~ ~ - :1~<rRtv<..r' <br /> <br />BUILDING SIZE I . l SQ FOOTAGE I =- I HEIGHT I I <br /> <br />~... "~~,':~;~~"'" .., 'i~ .,~';;;~. ~"" .~~~~~:~~'~~~~~~ :~~~~~~~~.'" ",..,..., "..........,."", '" """ <br /> <br />D ELECTRICAL 1$ I <br /> <br />D PLUMBING 1$ I <br />D MECHANICAL 1$ I <br /> <br />D GAS 0 ROOFING D <br />FINISHED FLOOR ELEVATIONS I I <br /> <br />. JOB ADDRESS <br /> <br />LOTti <br /> <br />10 <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />AMP SERVICE <br /> <br />DEMOLISH <br /> <br />OTHER I <br /> <br />D <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />W.R.E.C. <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY 0 <br />FLOOD ZONE AREA <br /> <br />OTHER <br />DYES <br /> <br />DNO <br /> <br /> <br />Address <br /> <br />MECHA~ICAL I <br />SIGNATURE . <br /> <br />Address I <br /> <br />OTHER I <br />SIGNATURE <br /> <br />Address I License # <br />1111111111111111 " 11111111111111111II111111111111 " 1111I11 " 111I11111 " I1111I " 1111II111 " 1I1I11 " 111111111111 i 1II1111111111I111111 " 1111I1111111I <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 Slit Fence installed, <br />Sanitary Facilities & 1 dlJmpster: Site 'Nark Perm!t for subdlvisions/large projects <br />Attach (3) 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 Slit 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 /> <br />BUILDER <br />SIGNATURE <br /> <br />Address <br /> <br />ELECTRICIAN I <br />SIGNATURE . <br /> <br />Address I <br /> <br />PLUMBER I <br />SIGNATURE <br /> <br />I <br /> <br />COMPANY <br />REGISTERED <br /> <br />COMPANY <br />REGISTERED <br /> <br />COMPANY <br />REGISTERED <br /> <br />COMPANY <br />REGISTERED <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br /> <br />I~~~~ <br />... (Y^/:N~CURR~~ 71YlN'r <br />License # 1CG('~s \ <br /> <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />YI N FEE CURRENT <br /> License # <br />YI N FEE CURRENT <br /> License # <br />YI N FEE CURRENT <br /> License # <br />Y IN FEE CURRENT <br /> <br />Y/N <br /> <br />Y/N <br /> <br />Y/N <br /> <br />Y/N <br /> <br />DI~~~ti~~~~' . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> <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 (PloVSurvey/Footage) <br /> <br />Driveways-Not over Counter If on public roadways..needs ROW <br />