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<br />813-780-0020 <br /> <br />Date Received <br /> <br /> <br />Ca Yb <br /> <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br />Owner's Name <br /> <br />Owner's Address 3 9 ;Z <br /> <br />Fee Simple Titleholder Namel <br /> <br />? L-/ <br /> <br />6 o':;vl) <br /> <br />Fee Simple Titleholder Address <br />JOB ADDRESS <br />SUBDIVISION I PARCEL 10#1 <br />WORK PROPOSED E3 NEW CONSTR B ADD/ALT D <br /> INSTALL REPAIR <br />PROPOSED USE D SFR 0 COMM D <br />TYPE OF CONSTRUCTION D BLOCK 0 FRAME ~D <br />DESCRIPTION OF WORK I 11;/ c C ,It.. r':c t)u-/~ <br /> I <br />BUILDING SIZE SQ FOOTAGE I <br /> <br />LOT # <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN 0 MOVE D DEMOLISH <br /> <br />OTHER <br />STEEL <br /> <br />I <br />o <br /> <br />OTHER I <br /> <br />HEIGHT I <br /> <br />.,1,...,1,...,11,..,1,..,....,...111"..".....,11....11.."...,1,.."......,1,..".....11..11111111111111111.1.......1..11......1..,.,1,......." <br /> <br />D BUILDING 1$ I <br />D ELECTRICAL 1$ I <br />D PLUMBING 1$ I <br />D MECHANICAL 1$ .21 (Jt). ~I <br />D GAS D ROOFING 0 <br />FINISHED FLOOR ELEVATIONS I I <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o <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 /> <br />FLOOD ZONE AREA DYES <br /> <br />DNO <br /> <br />1....,I'f.III,IIII,I"IIIII...III"I.'II..f'fl.II..","1111111'111..11'11111.1.1.1111"1"11111111.1.1'.111111.11111111111'111"111111111111'1.11 <br /> <br />BUILDER COI't'IPANY <br />SIGNATURE REGISTERED Y/N FEE CURRENT Y/N <br />Address License # <br />ELECTRICIAN COMPANY <br />SIGNATURE REGISTERED I Y I N FEE CURRENT Y/N <br />Address License # <br />PLUMBER COMPANY <br />SIGNATURE REGISTERED Y/N FEE CURRENT Y/N <br />Address License # I <br />MECHANICAL I ~"'~ La.-Ir~ at/v /I/c <br />SIGNATURE Y/ 1 FEE CURRENT Y/N I <br />Address License # I I ~ ::L- <br />OTHER COMPANY <br />SIGNAtURE REGISTERED Y/N FEE CURRENT Y/N <br />Address License # <br /> <br /> <br /> <br />1111I111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <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 subdivlsionsllarge 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 />111111111111I1111111I1111I11111111I11111111111111111111111111I1111111111111111111111111111111111111111111111111111111I1111111I11111111111111111111 <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 NC Fences (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadwaysooneeds ROW <br />