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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />'''''''"'''''',t 0fcffj <br /> <br /> <br />Date Received <br /> <br />Owner Phone Number <br /> <br />;;2owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />LOT# <br /> <br />1 <br />I <br />1 <br />li-7(1~ <br />I <br /> <br />JOB ADDRESS <br /> <br />Fee Simple Titleholder Address 1 <br />1 50:l' 'ft.;' 5T.l ::C~f'h'r!1'4;ftJ: Ft. 3J St/::J <br /> <br />1 'VI-v u 0 J- e-(p;,~rIMIJ I <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />~ NEW CONSTR <br />D INSTALL <br />D <br />D <br /> <br />~,vJ ddll <br /> <br />I <br /> <br />PARCEL ID#I ( 1-:2 (p-21-CO /0-1 y,f'60 -00/0 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br /> <br />SUBDIVISION <br /> <br />SFR <br />BLOCK <br /> <br />ADDIALT D <br />REPAIR <br />mOTHER p u..r Il.... <br />o STEEL C2r OTHER 15~1 !va l...Jc,IlS I <br /> <br />SllOJril 5~ ~cd(gwr ).Ir JeHclw fhrtlVlj;L ;:i!b/,~ I <br /> <br />SQ FOOTAGE 1 1;2.00 1 HEIGHT I i 0 I I ' <br /> <br />B <br />o <br />o <br /> <br />SIGN <br /> <br />D <br /> <br />MOVE <br /> <br />D <br /> <br />DEMOLISH <br /> <br />WORK PROPOSED <br /> <br />I <br />I <br />I <br />I <br />o <br />I <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />WRE.C <br /> <br />w <br />o <br />> ~ <br />a:.q-CO <br />L\J ..... ,..... <br />cnC")~ <br />~L9C\J <br />~~O? <br />a:,.....~ <br />wc;-O? <br />!l.......... <br />8e.~ <br />~ u: <br />0.:: <br /> <br />COMM <br /> <br />FRAME <br /> <br />DESCRIPTION OF WORK <br /> <br />cr <br /> <br />BUILDING SIZE <br /> <br />BUILDING <br /> <br />1$ ;2"3/:;1 ). a:) <br />- <br />o ELECTRICAL 1$ f'J (t\- <br /> <br />O PLUMBING 1$ N I ~ <br /> <br />o MECHANICAL LN \ "" <br /> <br />o GAS D <br />FINISHED FLOOR ELEVATIONS I <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />ROOFING <br /> <br />SPECIALTY D OTHER <br />FLOOD ZONE AREA DYES <br /> <br />DNO <br /> <br />BUILDER <br />SIGNATURE <br /> <br />~Ct, <br />I <br /> <br />~iJ <br /> <br />A. ~t:OMPANY <br />- ~ REGISTERED <br /> <br />I <br /> <br />II=~U~~RR~fi:;1I'~ :Jk_ <br /> <br /> <br />License # I I <br /> <br />I <br />I <br />1 <br />I <br />I <br />I <br />I <br />I <br /> <br />~ <br /> <br />FEE CURRENT <br /> <br />~ <br /> <br />Address <br /> <br />ELECTRICIAN I <br />SIGNATURE <br /> <br />Add ress I <br /> <br />PLUMBER I <br />SIGNATURE <br /> <br />Address I <br /> <br />MECHANICAL i <br />SIGNATURE , <br /> <br />Address <br /> <br />OTHER I <br />SIGNATURE <br /> <br />Address I <br /> <br />f\s ~ COMPANY <br />REGISTERED <br />IVff;r COMPANY <br />REGISTERED <br />~ \'f\ COMPANY <br />REGISTERED <br />t'-l l~ COMPANY <br />REGISTERED <br /> <br />License # <br /> <br />~ <br /> <br />FEE CURRENT <br /> <br />~ <br /> <br />License # <br /> <br />~ <br /> <br />FEE CURRENT <br /> <br />~ <br /> <br />License # <br /> <br />~ <br /> <br />FEE CURRENT <br /> <br />~ <br /> <br />License # <br /> <br />RESIDENTIAL <br /> <br />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 subdivisionsnarge projects <br />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 />Attach (2) sets of Engineered Plans, <br />"'*PROPERTY SURVEY required for all NEW construction. <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <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 (PloUSurvey/Footage) <br />Driveways-Not over Counter if on public roadways. ,needs ROW <br />