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<br /> <br />. 813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Date Received <br /> <br /> <br />Owner's Name <br /> <br />I <br />to/q.? <br /> <br />I e~ Jt <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Namel <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Fee Simple Titleholder Address <br /> <br />LOT# I <br /> <br />I <br />I PARCELlD#1 O~-~" -;n- Ol gO -OQ<<JO-03~O <br />(OBTAINED FROM PROPERTY TAX NOnCE) <br />B NEW CONSTR ~ ADD/All 0 SIGN 0 MOVE 0 <br />INSTALL REPAIR <br />PROPOSED USE SFR COMM D OTHER I <br />TYPE OF CONSTRUCTION 0 BLOCK 0 FRAME D STEEL D OTHER I <br /> <br />:::~::OFiRK I r~F~~::r!k Sj~:: I r1Q 2 '(~ r .............. <br /> <br /> <br />1111'111'111111111111111'11'1111'1111'11'111'1111111111111111111111111111111111'111'11;11111'1111111111'1'1111'111111111'111'111111111111111111111 <br /> <br />1$ I <br />1$ I <br />1$ I <br />1$ 5tOO.oD I <br /> <br />D GAS 0 ROOFING 0 SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES ONO <br /> <br />11111111111111111111111111111111111111111111 ! 11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />DEMOLISH <br /> <br />BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />PROGRESS ENERGY <br /> <br />D <br />D <br />D <br /> <br />ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />PLUMBING <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />~ <br /> <br />MECHANICAL <br /> <br />BUILDER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br />ELECTRICIAN I <br />SIGNATURE . <br /> <br />Address I <br /> <br />PLUMBER I <br />SIGNATURE <br /> <br />Address I <br /> <br />COMPANY <br />REGISTERED <br /> <br />COMPANY <br />REGISTERED <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br /> <br />Address <br /> <br />~ <br />taa8~ V S <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />o <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />Y / N FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />Y / N FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />Y / N FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />~ris i Ale CtJ 1'U.A?tU1' J <br />Y / N I FEE CURRENT----;-r Y / N7 I <br /> <br />License # I C.ACo5gs'7 5 <br /> <br />Y/ N <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Address License # <br />11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <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 w/ Slit Fence Installed, <br />Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects <br />COMMERCIAL Attach (3) 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 w/ Slit 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 /> <br />.....11..11.....11...,....11.....11....1111.11..1111..11.....11............11..................................................................... <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 (Pial/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />