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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br />tf (5 2- v."3 <br />lL(o~ <br /> <br />, <br />Date Received <br /> <br /> <br />I <br />I <br />I <br />L$Jo Jl+h&-rc4 I lOT# 8o~1 <br />PARCELID#IJJ~-81::Q2lo-o-froa-c..D~ I <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />+h <br />~.e..-. <br />Co-rnL- <br /> <br />:) <br /> <br />OWner's Name <br /> <br />OWner's Address <br /> <br />Fee Simple Titleholder Namel <br /> <br />Fee Simple Titleholder Address I <br /> <br />JOB ADDRESS <br /> <br />~u:*-Zel~a~\\c:- I <br />I ~ <br />o NEWCONSTR D ADD/ALT. tvr <br />D INSTALL D REPAIR ~ <br />PROPOSED USE 0 SFR 0 COMM 0 OTHER <br />TYPE OF CONSTRUCTION 0 BLOCK D FRAME 0 STEEL D <br /> <br />DESCRlPT1ONDFWORK I ~hC\G:1 &k.rt~~~Jdf-<;'h:, ~ <br /> <br />BUILDING SIZE . I SQ FOOTAGE I I HEIGHT I I <br /> <br />74 BUILDING 1$ I VALUATION OF TOTAL CONSTRUCTION \ \S1.c9. \ <br />D ELECTRICAL 1$ I AMP SERVICE D PROGRESS ENERGY D <br />D PLUMBING 1$ I <br />D MECHANICAL 1$ I <br /> <br />D GAS 0 ROOFING D <br />FINISHED FLOOR ELEVATIONS I I <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />DEMOLISH <br /> <br />OTHER I <br /> <br />W.R.E.C. <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY D <br /> <br />FLOOD ZONE AREA <br /> <br />OTHER <br />DYES <br /> <br />DNO <br /> <br />BUILDER <br />SIGNATURE <br /> <br /> <br /> <br />COMPANY <br />REGISTERED <br /> <br />f:~ Nb rc.:t.:.t;y I <br /> <br /> <br />License # I <br /> <br />Y/N <br /> <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />Address <br /> <br />ELECTRICIAN I <br />SIGNATURE . <br /> <br />Address I <br /> <br />PLUMBER I <br />SIGNATURE <br /> <br />I <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N FEE CURRENT <br /> License # <br />Y/ N FEE CURRENT <br /> License # <br />Y/ N FEE CURRENT <br /> License # <br />Y/ N FEE CURRENT <br /> <br />Y/N <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />COMMERCIAL <br /> <br />Address <br /> <br />MECHA~ICAL I <br />SIGNATURE . <br /> <br />Address I <br /> <br />OTHER I <br />SIGNATURE <br /> <br />~~! ~~# <br />I111111I " 1I11I111II1I111I1111 " 111111I " 111111I1I11111 " 1111II11111 " 1I1I11 " 1111111111111 " 111111I11II11 " III i III i I j j I ; 111111111111111 ! II1III ! ! I <br />RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fonns; R-Q-W Pennit for new construction, <br />Minimum ten (10) working days after submittal date. Rerrulred onslte, Construction Plans, StonnWater Plans w/ Slit Fence Installed, <br />Sanitary Facilities & 'I dumpster; Site Work f'ennit for subdivlslonsnarge projects <br />Attach (3) sets of Building Plans; (1) set of Energy Fonns. R-O-W Penn It for new construction. <br />Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stonnwater Plans wI Silt Fence Installed, <br />Sanitary Facilities & 1 dumpster. Site Work Penn it 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 />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />SIGN PERMIT <br /> <br />DI~~ti~~~~ ' . . , , . . , , . , . . , . . . . , . . , , . . , . . . , . . . . . . , . . . . . . . . . , , . . , . , . . . . . . , , . . . . . , . . . . . . . . , , , . . . . '. . . . . , . . . , . . . . . , . . . . , . .. , , . . . . . . . . . , . , . . , . . , . . . . , , . . . <br /> <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 NC Fences (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />