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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />* ~aq~180-0021 <br /> <br />Date Received <br /> <br /> <br />Y-h-, ; -J <br />~;L t5-?-1/ <br /> <br /> <br /> <br />Owner's Name <br /> <br /> <br />Owner's Address I r (~ <br /> <br />Fee Simple Titleholder Namel <br /> <br />Fee Simple Titleholder Address I <br /> <br />f<;g ;;2~ <br /> <br />~I ?/vf ,;2l)yr~,'/I, <br /> <br />J PARCE ID#I' <br /> <br />D NEW CONSTR c=J ADD/AL T 0 <br />D INSTALL D REPAIR <br />o SFR D COMM 0 <br />D BLOCK D FRAME D <br /> <br /><,7~ N..-Lc C /oc-'J:" ~ <br /> <br />I SQ F~OTAGE I HEIGHT I <br /> <br />LOT # <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE 0 <br /> <br />DEMOLISH <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />OTHER <br />STEEL <br /> <br />I <br />o <br /> <br />OTHER I <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />, , I I . I I , I . . . I I r . I . I I I . . , . . . . I I I , . I I I . . I I I I . I I . I I I I . I . I I . . . I I . . . . I I . . . . , I , . , I . I I . . . I I I I . . . I I . . . I I I I . ... . . . I I I I I I I . . . . . . I . I I I I I . . . . . . . . . . . . . , , I . . . . I . <br /> <br />D BUILDING 1$ I VALUATION OF TOTAL CONSTRUCTION <br />D ELECTRICAL 1$ I AMP SERVICE D PROGRESS ENERGY D W,R.E.C <br />D PLUMBING 1$ I <br />D MECHANICAL 1$ 7S-5t2 aJ I VALUATION OF MECHANICAL INSTALLATION <br />D GAS D ROOFING D SPECIALTY 0 OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />""".,.."....11..,11...1'.'111,'..'..'.'.,"".'","""III'II'f",.""I",II.'IIII,,,IIII"I"""II,'""""11""""'.1""11""""'" <br /> <br />COMPANY <br />REGISTERED <br /> <br />I <br />I <br />I <br />I <br />I <br /> <br /> <br />License # I I <br /> <br />I ~l~1 ~~f 1{~1YC I <br />License # I I g ~ I <br />I <br />I <br /> <br />YI N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />BUILDER <br />SIGNATURE <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />I Y I N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y I N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y I N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />OTHER <br />SIGNATURE <br /> <br />Address <br /> <br />License # <br /> <br />1111111111111111111111111111I111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <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) 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 />SIGN PERMIT Attach (2) sets of Engineered Plans. <br />.***PROPERTY SURVEY required for all NEW construction. <br />111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I1111111111111111 <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 AlC Fences (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />