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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br />Owner's Name <br /> <br /> <br />L eto _ ::JohN <br />I :37 ~~;).. (!,l>I?Jv'tU/1! / <br /> <br /> <br />J)~. <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number l <br /> <br />Date Received <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Namel <br /> <br />F.. Simple TI.eholde, Add".. . L <br />JOBADDRESS l37~.;t;2 t!o~JJtV~/1 ])R. <br />ILJ~ew""d ~~ <br /> <br />E1 NEW CONSTR E3 <br />INSTALL <br />PROPOSED USE 0 SFR 0 <br />TYPE OF CONSTRUCTION 0 BLOCK 0 <br /> <br />DESCRIPTION OF WORK ICh AN fje () LL-t; If/ C!. <br /> <br />BUILDING SIZE I I sa FOOTAGE I I HEIGHT I I <br />1111111111'111'1'11111'1'1'111'11"1'111111'11'1'111"1111'1111111'1'1'1'1"1'1'1'1'1':111111'111'1'11111'1'111'1'11'1"'1'1'1'111'1'1'1111111'1'1 <br /> <br />z-h,//s 5g5f;L I <br /> <br />PARCEL ID#11 /)- ~(p - ~/- b/.;2() - ODOO{)'- tJ~g(J <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN 0 MOVE D <br /> <br />LOT # <br /> <br />SUBDIVISION <br /> <br />DEMOLISH <br /> <br />WORK PROPOSED <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br />FRAME <br /> <br />OTHER <br />STEEL <br /> <br />I <br />o <br /> <br />OTHER I <br /> <br />D BUILDING <br />D ELECTRICAL <br />D PLUMBING <br />[32( MECHANICAL <br /> <br />I <br />I <br />1$ I <br />~_896; OOJ <br /> <br />D GAS 0 ROOFING 0 SPECIALTY 0 OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNa <br /> <br />111111111111111111111111111111111111111111111111111111111111111;1111111111111111111111111111111111111111111111111111111111111111111111111111111111 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />1$ <br />1$ <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />PROGRESS ENERGY <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />BUILDER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />YI N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> License # <br />YI N FEE CURRENT <br /> License # <br /> <br />Y/N <br /> <br />Address <br /> <br />ELECTRICIAN I <br />SIGNATURE . <br /> <br />Address I <br /> <br />PLUMBER I <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br /> <br />Address <br /> <br /> <br />FEE CURRENT <br />License # leA (.10 ~39Lf ~ <br /> <br />Address <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />YIN <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Address I License # <br /> <br />11111111111111111111111111111111111111111111111111111111111111111111111,11111111111111111111111111111111111111111111111111111111111111111111111111 <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 Silt Fence installed, <br />Sanitary Facilities & 1 dumpster; Site Work Permit for subdivlsions/large 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 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 /> <br />D,~~~ii~~~': . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . , . . . . . . . . , . . . <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 />