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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br />Date Received <br /> <br /> <br /> <br />Owner's Name <br /> <br />(\ <br /> <br />..."" ,,,_. l'-lI'lf ~~5~ ll& Z~nv~~~ ...." ,","""m", I <br /> <br />Fee Simple Titleholder Name _ _ _ _ ~ _ Owner Phone Number I <br /> <br /> <br />::'::::''"''''i~:m~'~ ~';~ DrNe., Zf~f\i\\\S I FL_1 ~~.\ I I <br /> <br /> <br />Wh;~tM"\Ol\ {)lA\r:~ S 1.~. PARCELlD#1 t ~ 2le2' 0 I (JI OOnolYJOO I () <br />J (OBTAIN EO FROM PROPERTY TAX NOTICE) <br />D NEW CONSTR D AD DIAL T D SIGN D MOVE D <br />D INSTALL D REPAIR <br />PROPOSED USE D SFR D COMM D <br />TYPE OF CONSTRUCTION D BLOCK D FRAME D <br /> <br />DESCRIPTION OF WORK I <:\0.\ \ Sto.n\ \, z.a.-\-~on <br /> <br />I SO FOOTAGE I <br /> <br />1$ 3~1 950.00 I <br />1$ I <br />1$ I <br />1$ I <br /> <br />D ROOFING D <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />DEMOliSH <br /> <br />OTHER <br />STEEL <br /> <br />I <br />D <br /> <br />OTHER I <br /> <br />HEIGHT I <br /> <br />BUILDING SIZE <br /> <br />D <br /> <br />BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D:7 <br />0~ <br /> <br />D <br />D <br />D <br /> <br />PLUMBING <br /> <br />MECHANICAL <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />D <br /> <br /> <br />DYES <br /> <br />DNO <br /> <br />GAS <br /> <br />OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />COMPANY <br />REGISTERED <br /> <br />ISe{'iJre F~uodah()f'} SLI ,,1em~ I <br />c.ri2KJ FEE CURRENT ~ <br /> <br />License # IrA('.l 5\ 4 2..~3 I <br />I <br /> <br />I <br />I <br /> <br />I <br />I <br /> <br />I <br />I <br /> <br />I <br /> <br />~ <br /> <br />FEE CURRENT <br /> <br />~ <br /> <br />ELECTRICIAN <br />SIGNA TURE <br /> <br />License # <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />~A <br /> <br />COMPANY <br />REGISTERED <br /> <br />~ <br /> <br />FEE CURRENT <br /> <br />~ <br /> <br />Add ress <br /> <br />License # <br /> <br />MECHANICAL I I <br />SIGNATURE LN.{A <br /> <br />Address I <br /> <br />OTHER [ <br />SIGNATURE <br /> <br />Add ress I <br /> <br />COMPANY <br />REGISTERED <br /> <br />~ <br /> <br />FEE CURRENT <br /> <br />~ <br /> <br />License # <br /> <br />~ <br /> <br />FEE CURRENT <br /> <br />~ <br /> <br />License # <br /> <br />RESIDENTIAL <br /> <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 subdivisionsnarge 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 w/ 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 /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <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. (A/C upgrades over $5000) <br /> <br />Agent (for the contractor) or Power of Atlomey (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 NC <br />Driveways-Not over Counter if on public roadways..needs ROW <br /> <br />Fences (Plot/Survey/Footage) <br />