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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Applicatioj. <br />Building Department ~. <br />I <br /> <br /> <br />Fax-813-780-0021 <br /> <br />Date Received <br /> <br /> <br />Owner's Name <br /> <br />OWner's Address ~1)fl/l{)( <br />Fee Simple Titleholder Namel <br /> <br />Df I {(l <br /> <br />fYlfVlO( Dr ", v(l <br />I PARCEL ID#I <br /> <br />B <br /> <br />o <br />o <br /> <br />DESCRIPTION OF WORK l...cJrIC\x\~ 0 (\LA:-\ Ale <br /> <br />BUILDING SIZE I I SQ FOOTAGE I HEIGHT I <br />1111111111111111111111'111'"111111111111111111111111111IIIfTIIII'I'IIIIIIIIIIIIIIIIIIIIIIIIII"III'"'1111111IIlllt'llllrll""III"I'IIIII'II"'111 <br /> <br />I <br />I LOU I : <br /> <br />\J'a~~J 1-0050 - 00000-0 I~ <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />D SIGN 0 MOVE D <br /> <br />D <br />o <br />lL~r) It <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />JOB ADDRESS <br /> <br />Fee Simple Titleholder Address I <br /> <br />~ <br />I <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />~ <br />o <br />o <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br />FRAME <br /> <br />DEMOLISH <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />OTHER I <br />STEEL D <br /> <br />OTHER I <br /> <br />1$ I <br />1$ I <br />1$ I <br />1$ ~) ~DD.9.S!- I <br /> <br />D GAS D ROOFING D SPECIALTY 0 OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />11111111111111111111111111111111111111111111 ! 11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <br /> <br />:~~~~RE I ;2,:~~ I Y I N FEE "'ARENT Y I N I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />D BUILDING <br />D ELECTRICAL <br />D PLUMBING <br />rjJ MECHANICAL <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C, <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />Address <br /> <br />ELECTRICIAN I <br />SIGNATURE . <br /> <br />Address I <br /> <br />PLUMBER I <br />SIGNATURE <br /> <br />Address I <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />YI N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />18d:~ <br /> <br />OS K\-' <br /> <br /> <br />COMPANY <br />REGISTERED <br /> <br />License # I <br /> <br />cqJr'ISI i-) Ie ctln~7~ <br />YI N I FEE CURRENT Y/N' <br /> <br />C (lOG <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />~ <br /> <br />License # <br /> <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br /> <br />FEE CURRENT <br /> <br /> <br />Address License # <br /> <br />11I11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <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 dumpster; Site Work Permit for subdivisionsllarge projects <br />COMMERCIAL 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 />SIGN PERMIT Attach (2) sets of Engineered Plans. <br />....PROPERTY SURVEY required for all NEW construction. <br /> <br />DI~~~ti~~~': 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 . . I . . . . I I I <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 (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />