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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br /> <br />Fax-813-780-0021 <br /> <br />Date Received <br /> <br /> <br />-I 7~.JJ'ri tu ~/tIJ <br />~r~vluL <br /> <br />I.tt/()l <br /> <br />Owner Phone Numpe~ <br />'"..if, " <br />, " ". ~~. <br /> <br />Owner's Name <br /> <br />Owner's Address I .) 7 Jr fi- <br />Fee Simple Titleholder Namel <br /> <br />Owner Phone Number <br /> <br />JU~''7.~ 7t:C4 <br /> <br />Fee Simple Titleholder Address I <br /> <br />JOB ADDRESS <br /> <br /><s tk Ikt lif <br />Phi /11rARCEL 10# <br /> <br /> <br />SUBDIVISION <br /> <br />J '/ Jr tJ- /)e Ii <br />(Jver4~tv()ocI /i?fifldr <br /> <br /> <br />z~ r l/f LOT# 110/ <br />10 -cJ-/g -r:)../ - o/rJd - acJ a or) - fOld <br /> <br />WORK PROPOSED <br /> <br />r-b NEW CONSTR c::::::J ADD/AL T D <br />U INSTALL c=J REPAIR <br />PROPOSED USE D SFR D COMM D OTHER <br />TYPE OF CONSTRUCTION D BLOCK D FRAME D STEEL 0 <br /> <br />DESCRIPTION OF WORK I S" C-rt.-e.-Il flrn w Iv I n~1 \V J h d,,/U oS J {JJ" acl c1u1( wI IS (J/rJ..e.d +oofeN <br /> <br />/ ~ I 't- If" I SQ FOOTAGE I J-I h- tj I HEIGHT I . I <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />DEMOLISH <br /> <br />OTHER I <br /> <br />BUILDING SIZE <br /> <br />BUILDING <br /> <br />1$ 7. tJc)()..}J <br />600. fY) <br /> <br />cp <br />ctJ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />~ <br /> <br />W.R.E.C <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <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 />"111'111111111 11I11I11111I111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111II11111111111111111111 <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 />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 wI 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. (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 A1C Fences (Plol/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />