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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 />~ C <br />Owner's Address ;5 7 q / 2- <br />Fee Simple Titleholder NamJ <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />OWner Phone Number I <br /> <br />Owner's Name <br /> <br />JOB ADDRESS <br /> <br />Fee Simple Titleholder Address I <br /> <br />I 3 7q 1cf2. - ~ 7'fi // If <br />1.:511 /I iU!5 LA"(.e'~ trJI <br /> <br />LOT # <br /> <br />DESCRIPTION OF WORK <br /> <br />D NEW CONSTR c=J <br />D INSTALL D <br />DSFR D <br />D BLOCK D <br /> <br />;;ax Pii'u"P/lh- EY 15Ti,(~ <br /> <br />I SQ FOOTAGE I <br /> <br />PARCEL ID# I/~ - ;1 t -;2/ - G) 0 ffJ -2) 63ZJD- DO 5?J <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />D <br />D <br />D <br /> <br />DEMOLIsH <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />ADD/AL T <br />REPAIR <br />COMM <br />FRAME <br /> <br /> <br />OTHER I <br />STEEL D <br /> <br />~7)R I//F/1J/lC-j <br /> <br />HEIGHT I <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />OTHER I <br /> <br />I <br />I <br />I <br /> <br />BUILDING SIZE <br /> <br />1$ <br /> <br />1$ <br /> <br />1$ <br /> <br />1$ <br /> <br />D GAS D <br />FINISHED FLOOR ELEVATIONS I <br /> <br />ROOFING <br /> <br />I <br />I <br />I <br />I <br />D <br />I <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />BUILDING <br /> <br />K" FI.OU <br />~ OL.,.l. .- <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D ELECTRICAL <br />D PLUMBING <br />D MECHANICAL <br /> <br />SPECIALTY D OTHER <br />FLOOD ZONE AREA DYES <br /> <br /> <br /><-,.- <br /> <br /> <br />:";;00 if ) <br /> <br /> <br />,/ <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />DNO <br /> <br />BUILDER <br />SIGNATURE <br /> <br /> <br />License # <br /> <br /> <br />I V ~ t..J7J-#'~ <br />I Y / N I FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />ELECTRICIAN <br />SIGNATURE <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 /> License # <br /> <br />Y/N <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />"III'f"'PI'11 1IIIr,I"I'IIII"'III'IIII'III'IIII'IIIIII"II,1111111111'1'11111"11111"111111'111111111""1111""11111'1111'11111'11111'11111 <br /> <br />RESIDENTIAL 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 />COMMERCIAL 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 />SIGN PERMIT Attach (2) sets of Engineered Plans. <br />....PROPERTY SURVEY required for all NEW construction. <br />1111111.111 i 11111.111 ~ .111 ~ .11111 ~ .111...1 ~..I ~ .1111111. ~ ..111" .". ~. .11 ~ ..1.,. .,1111...11,' ~ .11111.11.,.11. ~ .111 i ,....1111.111.,.1 ii' .11'"..,,1 <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. (A1C 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 Driveways Fences (Plot/Survey/Footage) <br />