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<br />1l13-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br />Owner's Name <br /> <br /> <br />/~ 1J. <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 (.,03 { <br />Fee Simple Titleholder NamJ <br /> <br />s-f <br /> <br />Fee Simple Titleholder Address <br /> <br />PARCELlD# I <br /> <br />I LOT# I <br />0)..- J..~- 2' -ol8'O-OOOCD-6030 <br /> <br />JOB ADDRESS <br /> <br />56.M' R. <br /> <br />WORK PROPOSED <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br /> <br />BLOCK <br /> <br />I <br />B <br />D <br />D <br /> <br />(OST AINED FROM PROPERTY TAX NOTICE) <br />SIGN 0 MOVE D <br /> <br />DEMOLISH <br /> <br />SUBDIVISION <br /> <br />B <br /> <br />PROPOSED USE D <br />TYPE OF CONSTRUCTION D <br /> <br />DESCRIPTION OF WORK I <br />I I Ltn<Q.r-.(;d/11 J ~ / J ' II b ( <br />BUILDING SIZE sa re61"AGE 0 7 HEIGHT <br /> <br />1,......11....11...............................,11,...................."......,1111,........................"...............................,... <br /> <br />ADD/AL T <br />REPAIR <br />COMM <br /> <br />FRAME <br /> <br />D <br />D <br />D <br /> <br />I <br />o <br /> <br />OTHER I <br /> <br />I <br />I <br />I <br /> <br />OTHER <br />STEEL <br /> <br />Ft".,c-<- <br /> <br />D '-8ttIt:OJl\fcf 1$ 23L~ Od <br />F(A(~ <br />D ELECTRICAL 1$ <br />D PLUMBING 1$ <br />D MECHANICAL 1$ <br />D GAS D ROOFING <br />FINISHED FLOOR ELEVATIONS I <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />D <br />I <br /> <br />SPECIALTY D OTHER <br />FLOOD ZONE AREA DYES <br /> <br />DNO <br /> <br />BUILDER <br />SIGNATURE <br /> <br /> <br />COMPANY <br />REGISTERED <br /> <br />~()tv1e <br />Y/ N I <br /> <br />().1J /1 :VOl It'/-c;, C <br />FEE CURRENT ~) . Y / N <br />License # I 3' tf1 <br /> <br />Address <br /> <br />Sb(o <br /> <br />G-Lt <br /> <br />s+ <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 I <br />SIGNATURE . <br /> <br />Address I <br /> <br />OTHER I <br />SIGNATURE <br /> <br />Address I <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />I <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />RESIDENTIAL <br /> <br />1111"'I"'lllfllllllll"III"I'I"IIIIIII'IIIIIII"111"11"'11'1"111"""111"11111'11111"111'111"11111'11'1"""'1111"11.1'11"11-"11111 <br /> <br />COMMERCIAL <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 onslte, 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 />SIGN PERMIT <br /> <br />IIIII~III_IIIIII~III~.I'I~IIII'~.IIIIIII..I'III~III'IIII'I.IIIIIIIIIII'.IIII.III~IIIIIIIIIIIIIIIIIII'II'JIIJJIIIJ'~IIIII..IJI~III.IIII..lllllill.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 PERMITTING (Front of Application Only) <br />Reroofs Sewers Service Upgrades NC Driveways Fences (Plot/Survey/Footage) <br />