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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />jf- tp;O tJ C( <br /> <br />Fax-813-780-0021 <br /> <br />Date Received <br /> <br /> <br /> <br />Owner's Name ZE. h ESI-4-1-r:~ <br />Owner'sAddress I 'lttJllJld-~l)~1 .i'cI <br />Fee Simple Titleholder Namel <br /> <br />JOB ADDRESS <br /> <br />Fee Simple Titleholder Address I <br />I tf}/{)/ 11 /~pl>d-I pc/ <br />l;::ixu./cod CbiVdo rlSSb <br /> <br />LOT# I <br /> <br />SUBDIVISION <br /> <br />PARCEL ID#I <br /> <br />WORK PROPOSED <br /> <br />B <br />D <br />D <br />I 1tr;;/4CE <br /> <br />NEW CONSTR <br />INSTALL <br /> <br />SFR <br />BLOCK <br /> <br />I <br />E3 <br />D <br />D <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D DEMOLISH <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br />FRAME <br /> <br />I~I <br />D <br />D <br /> <br />OTHER <br />STEEL <br /> <br />I <br />D <br /> <br />OTHER I <br /> <br />207; ~ 5aUu.'I /J-+,A/FL <br />. <br /> <br />SQ FOOTAGE I I <br /> <br />HEIGHT I <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />. , 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 I . . , . . . . . <br /> <br />D BUILDING 1$ I VALUATION OF TOTAL CONSTRUCTION <br />G2r ELECTRICAL 1$ /'100- I AMP SERVICE ~ PROGRESS ENERGY D W.R.E.C. <br /> 200 <br />D PLUMBING 1$ I <br />D MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION <br />D GAS D ROOFING D SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />1111"."..11'..."111111"1111'11'....'11"...'".",11.."'111'..'.11",.....,....."".'1111.'11...'11....."'.1111""...'1'1111'11'.111""'1 <br /> <br />BUILDER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/ N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br /> <br />Y/N <br /> <br />Address <br /> <br />7 ?it. sf ~ J3Z .(){'. J=L 6~5"23 <br /> <br /> <br />1;jp/r;~vJe ~/Fck,.c <br />K:~ N I FEE CURRENT <br />License # I <br /> <br />7_ <: <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y / N FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />MECHANICAL I <br />SIGNATURE <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y / N FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y / N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />111111111111111 1I11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <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 onsile, 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 />111I1I1111111I111111111111111I11111111111111111111I1111I1111111111111111111111111I111111111111I1111111111111I11I1111111111111111111111111111111111 <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 AlC Fences (Plot/Survey/Footage) <br /> <br />License # <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />