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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />/1102/ <br /> <br />Fax-813-780-0021 <br /> <br />Date Received <br /> <br /> <br />. ~c\ IQ 'v\. <br />'is'1 <br /> <br /> <br />Owner's Name <br /> <br />.~ Owner's Address <br /> <br />Fee Simple Titleholder Namel <br /> <br />La\^k' <br /> <br />Fee Simple Titleholder Address <br /> <br />, JOB ADDRESS , I C; t La r-k' a- 2~ LOT # 50 <br />.SUBDIVISION 6aKs\(d~ /lr2/'V I PARCEL ID# <br />PAA <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br />-WORK PROPOSED ~ NEW CONSTR E3 ADD/AL T D SIGN D MOVE D DEMOLISH <br /> INSTALL REPAIR <br />-PROPOSED USE D SFR D COMM D OTHER <br />TYPE OF CONSTRUCTION D BLOCK [X] FRAME D STEEL D OTHER I <br />""'DESCRIPTION OF WORK f/-d <f I'll 'e-, )\ l~ Trg if 'E '^ Be.cJ-r0t)(Yl <br />BUILDING SIZE SQ FOOTAGE I I HEIGHT I <br /> <br /> <br /> <br /> <br />BUILDING <br /> <br />ROOFING <br /> <br />I <br />I <br />I <br />I <br />D <br />I <br /> <br />AMP SERVICE <br /> <br />I'~el <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />VALUATION.OF TOTAL CONSTRUCTION <br /> <br />ELECTRICAL <br /> <br />SPECIALTY D OTHER <br />FLOOD ZONE AREA DYES <br /> <br /> <br />~c18 <br />2iJ ~f <br />'1!iz.. <;.;'dgJ' <br />ID pa' <br /> <br /> <br />D <br /> <br />PLUMBING <br /> <br />~ <br /> <br />MECHANICAL <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />B~IL~.. R <br />SI~~ <br /> <br />~~.GL <br /> <br />fiOh1.J(. <br />Y / N I <br /> <br />6-u..~ <br />FEE CURRENT I Y / N <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br />,.e'::E~N <br />(SIGNA TyRE <br /> <br />COMPANY <br />REGISTERED <br /> <br />License # <br /> <br />~ FEE~ <br /> <br /> <br />License # I <br /> <br />~ ~CuL <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N FEE CURRENT <br /> License # <br />YI N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> License # <br /> <br />Y/N <br /> <br />Address <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br />11I111111I1111111111111111111111I11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <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 w/ 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 />1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I <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. (Ale 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 NC Fences (PlotfSurvey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />