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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />#' ~(1.l./ Fax-813-780-0021 <br /> <br />Date Received <br /> <br /> <br /> <br />b <br />OWn.,', Add,... I' 5 ~ ~}-h ') ir",-9- t';;'7S"'-Ij <br /> <br />Fee Simple Titleholder Name <br /> <br />Owner's Name <br /> <br />Fee Simple Titleholder Address I <br /> <br />1'5104 <br />I <br /> <br />\~~ ')f. 2~~~'dl~~ 3~~ I LOT# I <br />I PARCEL ID#[1J - 2-~ -2' - CD/a -o~3 CD- 01 sO <br />(OBT A'NED FROM PROPERTY TAX NOT'CE) <br />D ADD/ALT ~ SIGN D MOVE D <br />D REPAIR .Q.-rCXJP- <br />D COMM OTHER I <br />D FRAME D STEEL D <br /> <br />DESCRIPTION OF WORK H),-Q.. --roef- l.u [ ~ l Y"l ~I (2 S <br /> <br />BUILDING SIZE I SQ FOOTAGE I d SeD HEIGHT I <br /> <br />. 'r 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 />~ '87 00 <br />1$ <br />1$ <br />1$ <br />GAS Ck1 <br /> <br />FINISHED FLOOR ELEVATIONS I <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSEo./ <br /> <br />B <br />D <br />D <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />D <br />D <br />D <br />D <br />D <br /> <br />I <br />I <br />I <br />I <br />D <br />I <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />BUILDING <br /> <br />DEMOLISH <br /> <br />OTHER I <br /> <br />ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />PROGRESS ENERGY <br /> <br />PLUMBING <br /> <br />D <br /> <br />D <br /> <br />W,R.E.C <br /> <br />MECHANICAL <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />ROOFING <br /> <br />OTHER <br />DYES <br /> <br />DNO <br /> <br />""",".'1111""",."."'...111.....11....'....,11..11111"""".,1111,.'11.....'11,."....'111......11.'If'.'.II......,,,''''''IIII.'IIIIII. <br /> <br />BUILDER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br /> <br />Y/N FEE CURRENT <br /> License # <br />Y I N FEE CURRENT <br /> License # <br />Y I N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> <br />Y/N <br /> <br />Y/N <br /> <br />Y/N <br /> <br />Y/N <br /> <br />License # I <br /> <br />~Cl~\~ <br />~~RRENT I Y/N I <br />License # I uc lSd S--.SuS/ <br /> <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, StormwaterPlans wi 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 wi 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 />"'11"'1'11""111111111'11111'1111111"1111111'1"111'1111'1'11""'1"'1'111""11""'111"1111"1'1111111111"'1""'1'1111111111'11111111111 <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 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 <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br /> <br />Fences (PloUSurvey/Footage) <br />