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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Owner's Name Oe I~ <br /> <br /> <br />Owner's Address I. 72,g3/J; <br /> <br />Fee Simple Titleholder Namel <br /> <br /> <br /> <br />tl 2; 0(9) <br /> <br />Fax-813-780-0021 <br /> <br />Date Received <br /> <br />-- <br />;;-~ Rve <br /> <br />Owner Phone Number d <br /> <br />Owner Phone Number 111)? 4tJ9? b" .->~ <br />Owner Phone Number I <br /> <br />JOB ADDRESS <br /> <br />Fee Simple Titleholder Address ~ <br /> <br />13P?LJI <br />I <br /> <br />WORK PROPOSED <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />I <br />W- <br />D <br />D <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br />FRAME <br /> <br />I LOT# I <br />PARCELlD#1112~-ZI-OOI()-/71!O- ()D5D <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />D SIGN D MOVE D <br /> <br />D <br />D <br /> <br />9 -:a... FJ J/ e <br /> <br />SUBDIVISION <br /> <br />B <br /> <br />PROPOSED USE ~ <br />TYPE OF CONSTRUCTION D <br /> <br />DESCRIPTION OF WORK II? e ;::'1 He ~ /f ~eJ F <br /> <br />BUILDING SIZE I SQ FOOTAGE I HEIGHT I <br /> <br />. , I I . . I , I . . . . I . . . . I I . '.' . . . . I , . I I . . . I I I I . . I I I I . . . I I I . . I I I . . I I . . . I I . I . . I I . . , I I I . . I . I . . . I I . I . I , . . . , I I . '" . I . I I I I . I I . . I . . I I , . . . . I I I I I I I . . . . . . . . . . . . . , II <br /> <br />D BUILDING 1$ n;~ <br /> <br />o ELECTRICAL 1$ <br /> <br />D PLUMBING 1$ <br /> <br />D MECHANICAL 1$ <br /> <br />D GAS ~ ROOFING <br />FINISHED FLOOR ELEVATIONS I <br /> <br />DEMOLISH <br /> <br />OTHER <br />STEEL <br /> <br />I <br />D <br /> <br />OTHER I <br /> <br />() /t'r <br /> <br />I <br />I <br />I <br />I <br />D <br />I <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY D <br /> <br />FLOOD ZONE AREA <br /> <br />OTHER <br />DYES <br /> <br />DNO <br /> <br />""""1"1111'1""'1"1""""""'11""'1'1'1'""""'11""""'11"""""""111"""""""'""1""""""""'1""""""1"" <br /> <br />BUILDER <br />SIGNATURE <br /> <br />IJ)-~ ~~I6-d- <br />I <br /> <br />COMPANY <br />REGISTERED <br /> <br />~~~~ECURRENT <br /> <br /> <br />License # I <br /> <br />Y/N <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y / N FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/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 />Address <br /> <br />MECHANICAL I <br />SIGNATURE . <br /> <br />Address I <br /> <br />OTHER I <br />SIGNATURE <br /> <br />Address I <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />11111111111111I111111I111I111I11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <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 w/ Silt Fence installed, <br />Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisionsllarge 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 w/ 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 />111111111111111111I1111111111111111111111111111111111111111/111111111111111111111111111111111111111111111111111111111111111111111 j 111111111111111I <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 A1C Fences (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />