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<br /> <br />I <br />I <br /> <br /> <br />Fee Simple Tllleholder Address I I <br /> <br />: s,03--4-press St-i Ze(Jh(Qbill~ ::'~5~ I LOU I I <br />PARCELlOt ld- ato- ~l-nrrlsllr 00000-- (.01.w <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />E3 ADD/ALT 0 SIGN D MOVE 0 <br />REPAIR <br />o COMM 0 <br />o FRAME 0 <br /> <br />DeSCRlP110N (lFWORK :::::1 Ale.. ~ OU;{- <br /> <br />BUILDING SIZE ~ SQ FOOTAGE _ <br /> <br />813-780-0020 <br /> <br />Date Received <br /> <br />Owner's Name <br /> <br />Owner's Address <br />Fee Simple Tideholder Name I <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTlON <br /> <br />City of Zephyrhills Permit Application 1f ~(a 0 <br />Building Department I <br /> <br />Fax-813-780~21 <br /> <br />33~.) - <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />B <br />o <br />o <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />DEMOLISH <br /> <br />OTHER I <br />STEEL D <br /> <br />OTHER I ~Ch.tnl <..~ <br /> <br />HEIGHT I <br /> <br />1$ <br />1$ <br />1$ <br />l:t800 I (ry:) <br /> <br />o GAS 0 ROOFING <br />FINISHED FLOOR ELEVATIONS I <br /> <br />0 BUILDING <br />0 ELECTRICAL <br />0 PLUMBING <br />'1::D MECHANICAL <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />D SPECIALTY 0 OTHER <br />I FLOOD ZONE AREA DYES IDNO <br /> <br />BUILDER <br />SIGNATURE <br /> <br />COMPANY I <br />REGISTERED Y/N FEE CURRENT Y/N <br /> Uoense .. I <br />COMPANY I <br />REGISTERED Y/N FEE CURRENT Y/N <br /> Ucense # I <br />COMPANY I <br />REGISTERED Y/N FEE CURRENT Y/N <br /> Ucense .. I I <br />/L ~ \er~5 Heab~'i.. Om~l I()(,I <br />Y I N FEE CURRENT I Y I N <br /> Ucense # I C4C/l &61J1u I <br />COMPANY I <br />REGISTERED Y/N FEE CURRENT Y/N <br /> Ucense # I <br /> <br />Address <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />Address <br /> <br /> <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />Address <br /> <br />OlliER <br />SIGNATURE <br /> <br />Address <br /> <br />Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fonns; R-Q-W Pennit fDr new constructiDn, <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 Pennit for subdivisionsllarge projects <br />Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Fonns, R-O-W Pennit for new construction. <br />Minimum ten (10) working days after submittal date, Required onsile, Construction Plans, Stormwater Plans wi Silt Fence installed, <br />Sanitary Facilities & 1 dumpster, Site Work Pennit 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 />RESIDENTlAL <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Directions: <br />Fill out applicatiDn completely. <br />Owner & Contractor sign back of application, notarized <br />If over $2500, a Notice of Commencement is required. (AIC upgrades over $5000) <br /> <br />Agent (for the contractor) Dr Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same <br /> <br />OVER lliE COUNTER PERMITTING (Front of Application Only) <br />Reroofs Sewers Service Upgrades NC Fences (PlotlSurveylFootage) <br />Driveways-Not Dver Counter if on public roadways..needs ROW <br />