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<br />Owner's Address <br /> <br /> <br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Date Received <br /> <br />Fee Simple Titleholder Name <br /> <br />sA AYe. ;z"f'4y'~f/~ dnr#M . 1 La," 1 <br />I PARCEL ID#I II -2{;,- 2J --MIl) - 1bS'"'C(J-atJ/t!J <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />D NEW CONSTR D ADD/AL T D SIGN D MOVE D <br />D INSTALL D REPAIR <br />PROPOSED USE D SFR D COMM D OTHER <br />TYPE OF CONSTRUCTION D BLOCK D FRAME D STEEL D <br /> <br />R~"{!{)tly 4f&'/Nc. r,(? tV L.I~EF,.<#1;t1~ <br /> <br />BUILDING SIZE I I sa FOOTAGE ~() HEIGHT I .;3() / <br /> <br />"""'I"PI"I""""""""""""""!""""".."'.."".""....,.....,.,..""."""....""'.,.""""""""""4')""""""" <br /> <br />D BUILDING 1$ I VALUATION OF TOTAL CONSTRUCTION Y 11;? <br />D ELECTRICAL 1$ I AMP SERVICE D PROGRESS ENERGY D W.R.E.~. <br /> <br />D PLUMBING 1$ 1 I tC../. ~~ <br /> <br />D MECHANICAL ~ I VALUATION OF ~E~ INSTALLATION IVV "'" <br />Jlr> t' ~ 1AJ'r <br />D GAS -.. .- ./ROOFING D SPECIALTY OTHER ,RE ~~ ~"'" <br />FINISHED FLOOR ELEVATIONS DYES DNO ftlJ6i:r ~~ <br />~fo.>> <br /> <br />F.. Slmpl. T111.holdo, Add'''~_~~_ <br />JOB ADDRESS ! ,3<63 '/') <br />I <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />DEMOLISH <br /> <br />OTHER I <br /> <br />DESCRIPTION OF WORK <br /> <br /> <br />Address <br /> <br /> <br />FEE CURRENT <br /> <br />~~tJ6 <br />BUILB~R <br />SIGNATURE <br /> <br />License # I cc.GOS-79~7 <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />I Y/ N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />PLUMBER <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 />MECHANICAL <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 />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 />License # <br /> <br />11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <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 onsile, 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 Safely 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 />1111111111111111111111II11111111I11111I11111III11111111111111111I111II111111II111111111111I111111111111111111I111111111II1I11111111111111111111111 <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 (Plot/Survey/Footage) <br />R,E.C() t/fIG <br />Driveways-Not over Counter if on public roadways..needs ROW <br />