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<br />Date Received <br /> <br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />'''~",'''''OO''{:f sz(, ~ <br /> <br /> <br />Owner's Name <br /> <br />Owner's Address ~ is. f' <br />Fee Simple Titleholder Name 1 <br /> <br />Owner Phone Number <br /> <br />IJl1-SJ.. ~..,~ II t. 17~~~~honeNumber 1 <br /> <br /> <br />I Owner Phone Number I <br /> <br />Fee Simple Titleholder Address 1 <br /> <br />I..., 143l <br />I <br /> <br />L73Stro I <br />~\ucl. ~f'~~,lS I .Fe... I LOT# <br />I PARCELID#134 a5~ \OIIOax>OO 00'0 <br />(OBTAINED FROM PROPERTY TAX NOTlCEI <br />E3 NEW CONSTR D ADD/AL T D SIGN D MOVE D <br />INSTALL D REPAIR I.) _ (t <br />PROPOSED USE D SFR D COMM D OTHER I ~-e. (~ <br />TYPE OF CONSTRUCTION D BLOCK D FRAME D STEEL D OTHER I <br /> <br />"""""''''' '" wo"" I IV""", >II: ~/J. fAd,1. f",1 - ~!ArL_ <br /> <br />BUILDING SIZE f CX'.().!.p I sa FOOTAGE I /GusD HEIGHT <br /> <br />1$ I <br />1$ I <br />1$ I <br />1$ I <br /> <br />o GAS [0" ROOFING D <br /> <br />FINISHED FLOOR ELEVATIONS I I <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />o <br /> <br />o <br />o <br /> <br />o <br /> <br />BUILDER <br />SIGNATURE <br /> <br />Address <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />Address <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />Address <br /> <br />OTHER <br />SIGNATURE <br /> <br />Address <br /> <br />G-u.u <br /> <br />DEMOLISH <br /> <br />ur <br /> <br />BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION II 9()01t). h K-L t?octJ <br />AMP SERVICE D PROGRESS ENERGY D WRE.C. <br /> <br />ELECTRICAL <br /> <br />PLUMBING <br /> <br /> <br />MECHANICAL <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />OTHER <br /> <br />DYES <br /> <br /> <br />"^ 0 D'1"e. \c... <br /> <br />Y / N FEE CURRENT <br /> <br />~~I: <br /> <br />s. <br /> <br />"<""{ s ~ J .1'. ~ .3 'I~~5" License # <br />COMPANY I ynObTf..k- ~C <br />REGISTERED I Y / N I FEE CURRENT ~ <br /> <br /> License # <br />COMPANY <br />REGISTERED Y/N FEE CURRENT ~ <br /> License # <br />COMPANY <br />REGISTERED Y/ N FEE CURRENT ~ <br /> License # <br />COMPANY <br />REGISTERED Y/N FEE CURRENT ~ <br /> License # <br /> <br />t-.J I A <br /> <br />,Jlf) <br /> <br />RESIDENTIAL <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <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) wor1<ing days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ 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 />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 />Driveways-Not over Counter if on public roadways.,needs ROW <br /> <br />-1. <br /> <br />Fences (Plot/Survey/Footage) <br />