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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 /> <br />Owner's Name <br /> <br /> <br />P()L <br />150~~ <br /> <br />:r 51th IJ I? D <br />t~7 <br /> <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Date Received <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Namel <br /> <br />Fee Simple Titleholder Address I <br /> <br />150),3 <br />I <br /> <br />6 lJI.51. , <br /> <br />. <br /> <br />WORK PROPOSED <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />2( pH~#11IS <br />/ <br />I PARCEL ID#I <br /> <br />B <br />o <br />o <br /> <br />LOT # <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE 0 <br /> <br />DEMOLISH <br /> <br />ADD/AL T <br />REPAIR <br />COMM <br />FRAME <br /> <br />o <br />o <br />o <br /> <br />OTHER <br />STEEL <br /> <br />I <br />D <br /> <br />53 <br /> <br />PROPOSED USE 0 <br />TYPE OF CONSTRUCTION 00 <br /> <br />DESCRIPTION OF WORK 1.5 f t< V " & E u P 6 I'? II DC / (/ 0 TO /50 <br /> <br />BUILDING SIZE I I SQ FOOTAGE 11/ &J.. I HEIGHT I . I <br /> <br />. .. I I I . . I I I . . . I I I . . . I I . . . . I . . . . I . I . I I . I . , I I I . . . . I I I . I . II . . . I I . . . I I . . : . ;:-.:-. . I I . I . . I I I . . . . . I . . I . I I I . . . .. I I . I I I . . . . . . I . I . I I . . . I . . . . I . I I I I I I . I I . I I I I . I I <br /> <br />D BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION <br /> <br />l3J ELECTRICAL 1$ I. 300.e::. <br /> <br />. <br />D PLUMBING 1$ <br /> <br />D MECHANICAL 1$ <br /> <br />D GAS D ROOFING 0 SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br /> <br />111'..."1111.."111'111'1"'."1"..,.'.."111'1111111111'.11':,...."..,.1'...111'...'1..'..'.11.11111111......'..'111...".".".."..'111".'. <br /> <br />OTHER I <br /> <br />AMP SERVICE <br />150 <br /> <br />00 <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />COMPANY <br />REGISTERED <br /> <br />BUILDER <br />SIGNATURE <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address I <br /> <br />ELECTRICIAN . -=- ./2 <br />SIGNATURE . ~ <br />, <br /> <br />Address I <br /> <br />PLUMBER I <br />SIGNATURE <br /> <br />Address I <br /> <br />MECHANICAL I <br />SIGNATURE . <br /> <br />Address I <br /> <br />OTHER I <br />SIGNATURE <br /> <br />Address I <br /> <br />111I1111111111I11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I11111111111111111111111111111111 <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 subdivisions/large 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 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 />H**PROPERTY SURVEY required for all NEW construction. <br />111111111111111I1111111111111111111111111111111I111111111111111111111111111111I111111111111111111111111111111111111111111111111111111111111111111I <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 (Plot/Survey/Footage) <br /> <br />License # <br /> <br />- <br /> <br />COMPANY <br />REGISTERED <br /> <br /> <br />FEE CURRENT <br /> <br /> <br />License # I t COO ;), if 7 g <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 /> <br />Y/N <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />