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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 />Date Received <br /> <br /> <br /> <br />I <br />I <br />I <br /> <br />L' fA i e ""D'\7 _ LOT # 1:2 S-Lf I <br /> <br />PARCELlD# I G.lI- Z~ - ;).t - 0070 - OOCXX) - Z. <; 4 0 I <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN 0 MOVE D <br /> <br />Owner's Name <br /> <br />Owner's Address .3 L.) s:- I <br />Fee Simple Titleholder NamJ <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 />JOB ADDRESS <br /> <br />2>l1<"1 <br />. <br /> <br />'\ 0 u e...mA <br /> <br /> <br />SUBDIVISION <br /> <br />I <br />B <br />D <br />D <br /> <br />ADO/ALT <br />REPAIR <br />COMM <br />FRAME <br /> <br />WORK PROPOSED <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />D <br />D <br />D <br /> <br />DEMOLIsH <br /> <br />I <br />I' <br /> <br />OTHER I <br />STEEL 0 <br /> <br />DESCRIPTION OF WORK . c: "1 . <br />BUILDING SIZE I ~ ) I )( J () I I SQ FOOTAGE I ~ "'l.. f.. <br />...............111.......111.....1111.......11111...........................11.....11...............11.......111..............11111.......11...... <br /> <br />D BUILDING 1$ <br />ozi ELECTRICAL 1$ <br />rn PLUMBING 1$ <br />D MECHANICAL 1$ <br />D GAS D <br />FINISHED FLOOR ELEVATIONS I <br /> <br />AMP SERVICE <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />PROGRESS ENERGY <br /> <br />0>"" <br />- <br /> <br />3,;-(;- c <br />/ () 0 C. <br /> <br />.r, c; <br />.t:.--- <br /> <br />~ <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />ROOFING <br /> <br />D <br />I <br /> <br />SPECIAL TV D OTHER <br /> <br />FLOOD ZONE AREA DYES <br /> <br />Q3-NO <br /> <br />..........11..1111.11.11...111111....11111...11...............111...11..............1.......111.11..11111.11.................11.111...11..1....... <br /> <br />BUILDER <br />SIGNATURE <br /> <br /> <br />Address <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />set-F <br /> <br />Address <br /> <br />/ PLUMBER <br />SIGNATURE <br />"--~ <br /> <br />MECHANICAL I <br />SIGNATURE <br /> <br />Address I <br /> <br />OTHER I <br />SIGNATURE <br /> <br />Address I <br /> <br />COMPANY <br />REGISTERED <br /> <br />COMPANY <br />REGISTERED <br /> <br />COMPANY <br />REGISTERED <br /> <br />~I ~ - <br />ome . Y)f!J' .~ <br />Y I N FEE CURRl:frr-- <br /> <br />License # I <br /> <br />Y/N <br /> <br />/Io-M~nlr <br />I Y I N I FEE CURRENT <br /> <br />License # I <br /> <br />I S-'1j >;;nj~,", <br /> <br /> <br />License # I <br /> <br />Y/N <br /> <br />Y/N <br /> <br />Y I N FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />Y I N FEE CURRENT <br /> <br />Y/N <br /> <br />LIcense # <br /> <br />I I I , , , f . , II , I1II1I r I , , . , , III , , . , t ft II , IIIIIIII , , , , III1III1IIII111111 , II11I1I11111 , I r . 1111I111II1I1111 , 11111I1I , , I r , I . , I I I 1II11II1I11II11111 r I , " 1 , I <br /> <br />Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms <br />Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster <br />Attach (3) sets of Building Plans; (1) set of Energy Forms. <br />Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster <br />All commercial requirements must meet compliance. <br />Attach (2) sets of Engineered Plans. <br />....PROPERTY SURVEY required for all NEW construction. <br /> <br />RESIDENTIAL <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />~ I ~. 1.1111111111' ~ ~ III 1IIII IIIII 11111 III ~ I. II11I ~ Ill, I" IIII .11111111111111111111. ~ 1111111111..1,11111111111111111111111111111111111 i III1II1I1III i <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 PERMtTTING (Front of Application Only) <br />Reroofs Sewers Service Upgrades NC Driveways Fences (Plot/Survey/Footage) <br />