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<br />813-7110-OO20 <br /> <br />City of Zephyrhills Permit Application ~ '1 B11 Fax-813-7llO-l1021 <br />Building Department 11 <br /> <br />Own..... AddA18S <br /> <br />Fee Simple Titleholder Name I <br /> <br /> <br />Date Received <br /> <br /> <br />Owner's Name <br /> <br />BUILDING SIZE <br /> <br />Pst <br /> <br />B <br /> <br />PROPOSED USE D <br />TYPE OF CONSTRUCTION D BLOCK <br /> <br />DESCRIPTION OF WORK 1// {:~ i1 <br /> <br />/~X ~O I <br />1$ If FJ-~ I <br />1$ I <br />1$ I <br />1$ I <br /> <br />D ROOFING 0 <br /> <br />NEW CONSTR <br />INSTAlL <br />SFR <br /> <br />I <br />I <br />/7ll! ST I LOa I I <br />I(~~,~~~ b~-(e~D~!:l!!?::~OtJO -0*0 <br /> <br />o ADD/AlT D SIGN D MOVE D <br />o REPAIR <br />o COMM D <br />o FRAME D <br /> <br />A~;- <br /> <br />SQ FOOTAGE I <br /> <br />DEMOUSH <br /> <br />JOB ADDRESS <br /> <br />Fee Simple Titleholder AddA18S 1 <br /> <br />I /fJ/3/ <br />I <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />OTHER I <br />STEEL D <br /> <br />OTHER I <br /> <br />HEIGHT I <br /> <br />BUILDING <br /> <br />VAlUATION OF TOTAL CONSTRUCTION <br /> <br />0 ELECTRICAl <br />0 PLUMBING <br />0 MECHANICAl <br />0 GAS <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />PROGRESS ENERGV <br /> <br />D <br /> <br />W.R.E.C, <br /> <br />VAlUATION OF MECHANiCAl INSTAlLATION <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br /> <br />OTHER <br />DYES <br /> <br />~ <br /> <br />BUILDER <br />SIGNATURE <br /> <br />AddA18S <br /> <br />ELECTRICIAN I <br />SIGNATURE , <br /> <br />Addl'8llS I <br /> <br />PLUMBER I <br />SIGNATURE , <br /> <br />I <br /> <br />COMPANY <br />REGISTERED V/N FEE CURRENT ~ <br /> license ## <br />COMPANY <br />REGISTERED VI N FEE CURREHT ~ <br /> License ## <br />COMPANY <br />REGISTERED V/N FEE CURRENT ~ <br /> License ## <br />COMPANY <br />REGISTERED VI N FEE CURRENT ~ <br /> license ## <br /> <br />AddA18S <br /> <br />MECHANICAL I <br />SIGNATURE , <br /> <br />AddA18S I <br /> <br />~~RTURE I <br /> <br />AddA18S I <br /> <br />RESIDENTIAL <br /> <br />Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-WPennit for new construction, <br />Minimum ten (10) WOf1<ing days after submittal date. Required onsite, Construction Plens, Slormwater Plans wi Silt Fence installed, <br />Sanitary FaciHties & 1 dumpster; Sita V\Vrk Permit for SUbdlvisions/large proJacts <br />Attach (3) complete sets of BuIding Plans plus a Ufe Safaty Page; (1) sat of EnervY Forms. R-O-W PeImit for new construcllon. <br />Minimum ten (10) WOtking days after submittal date, Required onslle, Conslruction Plens. Slorn1Mler PI-. wi SiI Fence installed. <br />Sanitary Facifitles & 1 dumpster. Sita 1MM1< Permit for all new proJecls. All COl1lIll8R:IaI requifements must ~ compIianoe <br />Attach (2) sets of Engi~ Plens. <br />--PROPERTY SURVEY required for all NEW construdion, <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Directions: <br />Fill out appficelion completely. <br />Owner & Contractor sign back of appflcaIion, notarized <br />If over $2110O, . Notice of Commencement Is requlnld. (A/C upgrades over $liOOO) <br />Agent (for the contractor) or Power of AtIomey (for lIle owner) would be someone wlIh notarized letter from owner arthorizIng same <br />OVER THE COUNTER PERMITTING (Front of Applicalion Only) <br />Reroofs Sewers SeMoe Upgrades NC Fences (PlotISurveylFootage) <br />DrI-vs-Not over Counter if on public roadweys..needs ROW <br />