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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br /> <br />.. <br /> <br />Date Received <br /> <br /> <br />~ - ~.. 08 <br />. ~I? M <br />I ~"3'-f <br /> <br />Gl2tC~Awfi-L-l- <br />q TH ~7. <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Namel <br /> <br />Fee Simple Titleholder Address <br /> <br />JOB ADDRESS <br /> <br />~ \ 3L.( <br /> <br />q'Tt-l <br /> <br />2 ~fl'ti l (,e I~ f LL S' <br />I <br /> <br />fi22l <br />D <br />D <br /> <br />(loLb ~c--Pl P<C <br /> <br />sa FOOTAGE I <br /> <br />5T <br /> <br />FL <br /> <br />?3SLfZ <br /> <br />LOT # <br /> <br />PARCEL ID#I <br /> <br />SUBDIVISION <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />DEMOLISH <br /> <br />DESCRIPTION OF WORK <br /> <br />B <br />[lJ] <br />D <br />rHrn <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br />I <br />r- <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br />FRAME <br /> <br />D <br /> <br />D OTHER <br />D STEEL D OTHER I <br /> <br />{JJ~011 ~ <br /> <br />I HEIGHT I <br /> <br />WORK PROPOSED <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />BUILDING SIZE <br /> <br />"..11.........11....11........11...1111...1111...,...1111.111...111...111....11.....11........111.....1111111....11.1111.....,1111.1111,..11111111 <br /> <br />D BUILDING 1$ I VALUATION OF TOTAL CONSTRUCTION <br />D ELECTRICAL 1$ I AMP SERVICE D PROGRESS ENERGY D W.R.E.C. <br />P <br />PLUMBING 1$ .;1(..15 0 , c. c I <br />D MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION <br />D GAS D ROOFING D SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />l'r.""".'."',IIII..'III""II"..."'I.......",I,."""""""'11""1111111"."...,,,.....111......"'11111"11111"'1111""""'1111'1' <br /> <br />BUILDER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED Y/N FEE CURRENT Y/N <br /> License # <br />COMPANY <br />REGISTERED I Y/N FEE CURRENT Y/N <br /> License # <br /> <br />Address <br /> <br /> <br /> <br />Address <br /> <br />rz.-b <br /> <br />I T I..\E bt2A \ ~ '\ (:-;\0A <br />I Y / N I FEE CURRENT I Y / N I <br /> <br />License # P-F'Q...0057c.. 2.. '1 <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y / N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />1111111I1111111 111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I11111111I11I111 <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 subdivisions/large 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 />11111111111111I1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111IIIIIIIIIIIIIIIIIIIIillllllllllllllli <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 />