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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application Jt' B (S 1 <br />Building Department - 11 <br /> <br />Fax-813-780-0021 <br /> <br />Date Received <br />ItIlllllllllllllttl!lllllllll <br /> <br /> <br />Owner's Name <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Fee Simple Titleholder Address I <br /> <br />\ IZ.hr/IS' "L.3 g540 LOH I <br />PARCELID#135-25-2/- (){)/o-offctJ- 00 <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br /> <br />SUBDIVISION <br /> <br /> <br />JOB ADDRESS <br /> <br />WORK PROPOSED <br /> <br />NEW CONSTR <br />INSTALL <br /> <br />SFR <br /> <br />B <br />~ <br /> <br />~ <br /> <br />SIGN <br /> <br />D <br /> <br />MOVE D <br /> <br />DEMOLISH <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />g <br />D <br />D BLOCK D <br />SlzLP I One.. ~ <br /> <br />AD DIAL T <br />REPAIR <br /> <br />COMM <br /> <br />FRAME <br /> <br />DESCRIPTION OF WORK <br /> <br />~_J~~-~ <br /> <br />D BUILDING ~ 145". <.JQ I VALUATION OF TOTAL CONSTRUCTION <br /> <br /> <br />OTHER <br />STEEL <br /> <br />I <br />D <br />.-l-o .e>li <br /> <br />OTHER I <br /> <br /> <br />D ELECTRICAL 1$ <br />D PLUMBING 1$ <br />D MECHANICAL 1$ <br />D GAS D ROOFING <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />WR.E,C, <br /> <br />I <br />I <br />I <br />D <br />I <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />Address <br /> <br /> <br />SPECIALTY D OTHER <br />FLOOD ZONE AREA DYES DNO <br />~IltlllI!IIIIIIIIIIIHII~IIIllIHII__..~__lltlllI!IIIIlltlllI!IIIImlI\llllIlltlllI!IIIIl!IlllllIItrl!!lllll <br /> <br />~f~-+t~~R~W'f y~~N <br />License # l-p OOCOtY)"2J I <br />';~~~:R~~ ~~i~R~ I~Y~~ <br /> <br />FINISHED FLOOR ELEVATIONS I <br />1MI1llllllIm1ltllll!llll1ltllll!llll1lllllllm1ltllll!llll_IltlllI!IIIIUlllIIIHlllIlIlllIRI__ <br /> <br />BUILDER <br />SIGNATURE <br /> <br />Address <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />Y I N <br /> <br />FEE CURRENT <br /> <br />U;:5(X)mn:Q I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />Y/N <br /> <br />License # <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y I N <br /> <br />FEE CURRENT <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 />COMPANY <br />REGISTERED <br /> <br />OTHER <br />SIGNATURE <br /> <br />Y/N <br /> <br />Address License # <br />llIlIflllllll!lll..........-;.__ 1lIlIII!Ill1lllllllllll1llllll!lll1lllllllllll1lllllllllll1llllll!lll1lllllllllll1llllll!lll1lllllllllll1lllllllllll__IlIlIII!IllIlllllllllll_-- 1lIlIII!Ill1lllllllllll__ <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 subdivisionsllarge 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 />IIIIlIIlI <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />mm~~!lIDIIlIDI~mmmm:mHR-WflillllllllimllllODllllllll~mD.IIm.mm!lllfili~~mDJl~mJlIftJ.IImI~lRmHIAlR:JIHR1JRmIIIlmmllllll:~rm-JHJJHrRmHrJHJrRlHrAlfJHHHHATmIIII~ <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 Attomey (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 <br />Driveways-Not over Counter if on public roadways..needs ROW <br /> <br />Fences (PloUSurvey/Footage) <br />