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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 />.; e, Owner Phone Number ~13 - 9 T .. -- e:; s [) <br />13\ ~ . Z Owner Phone Number I VI3 .. 7r'% - S;YI../ 0 I <br />Fee Simple Titleholder Name B Nt. (hQ..wner Phone Number I I <br /> <br />::::::E:~.hOldeT"SS l;sJc~~ ~~:} ~7--1,;1(~ FL 3JYI2 I LOU I I <br /> <br />I W{A\V\~ Gvu~jv\~CI,.....)1 PARCELlD#1 IS-~~-:2I-0030 - ObbOD--trJ:I:::J I <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />D SIGN D MOVE D <br /> <br />D <br />D <br /> <br /> <br />Date Received <br /> <br />Owner's Address <br /> <br />SUBDIVISION <br /> <br />DESCRIPTION OF WORK <br /> <br />~ <br />D <br />D <br />I S(~e. <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />B <br />cgJ <br />D <br />\'Rud~W\e n~ <br /> <br />SQ FOOTAGE I <br /> <br />ADD/AL T <br />REPAIR <br />COMM <br />FRAME <br /> <br />DEMOLISH <br /> <br />WORK PROPOSED <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />OTHER <br />STEEL <br /> <br />I <br />D <br /> <br />OTHER I <br /> <br />BUILDING SIZE I <br />...11....111...11.'1..11..111..11............111........111..1111.........11111...........11.11....11....1111,...........11111"'........1111111111 <br /> <br />HEIGHT I <br /> <br />:$60 l~ <br /> <br />VALUATION OF TOTAL CONSTRU,CTION iI s-rol -oO'\::) <br /> <br />D BUILDING 1$ <br />D ELECTRICAL 1$ <br />D PLUMBING 1$ <br />D MECHANICAL 1$ <br /> <br />D GAS D <br />FINISHED FLOOR ELEVATIONS I <br /> <br />ROOFING <br /> <br />I <br />I <br />I <br />I <br />D <br />I <br /> <br />AMP SERVICE D <br />~/-l Cj"fo l~~ <br />, <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY D OTHER <br />FLOOD ZONE AREA DYES <br /> <br />DNO <br /> <br />""'11111""1111.."'...1"'..."1.'111..'11"11.'..."'....','....11"1...111"..."...11'.....'11'......""1111"111"'..'1""'1...111'.'111 <br /> <br />BUILDER COMPANY <br />SIGNATURE REGISTERED Y/N FEE CURRENT Y/N <br />Address License # <br />ELECTRICIAN COMPANY <br />SIGNATURE REGISTERED Y I N FEE CURRENT Y/N <br />Address License # <br />PLUMBER COMPANY <br />SIGNATURE REGISTERED YI N FEE CURRENT Y/N <br />Address License # <br />MECHANICAL I I COMPANY <br />SIGNATURE REGISTERED YI N FEE CURRENT Y/N <br />Address I /- - ~5~~ License #" I <br />OTHER COMPANY I~~ I(y)N <br />SIGNATURE REGISTERED FEE CURRENT I <br />Address License # I (Lu 00 'b 'I ~ b <br /> <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, Stormwater Plans wi Silt Fence installed, <br />Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/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 />111111111111111111111111111111111111111111111111I11111I11I1111111111111111I111111111111I111111111111111I111111111111111111111111111111111111I11111 <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 CO\INTER PERMITTING (Front of Application Only) <br />Reroofs Sewers Service Upgrades AlC Fences (PloVSurvey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />