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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 ReceivI!d <br /> <br /> <br /> <br />Owner's Name <br /> <br />.::5 -d--~-O(o <br />G (.fill t4: -!-et2- <br /> <br />Uu4/ V4-111i1J <br /> <br />Bun <br /> <br />Owner's Address I 3s"3Q <br />Fee Simple Titleholder Nam~ <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 # <br /> <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />BUILDING SIZE <br /> <br /> <br />WORK PROPOSED <br /> <br />B <br />D <br />D <br /> <br />ADD/All <br />REPAIR <br />COMM <br />FRAME <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />Ft.- '3%42.- <br /> <br />3~ <br /> <br />2(P 21 Ot:.Oc DOIOO cx:A 0 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN 0 MOVE D DEMOLIsH <br /> <br />OTHER I <br />STEEL D <br /> <br />I <br />I <br /> <br />OTHER I <br /> <br />SQ FOOTAGE I <br /> <br />d'CJ~ <br />I HEIGHT 1/ f '/J1tJ.-X <br /> <br />..1............1..........11....11.11...............11......1111111......111.......11..........11....11........1..1.....1.......1.1111..111111,.., <br /> <br />D BUILDING 1$ /8co I VALUATION OF TOTAL CONSTRUCTION <br />D ELECTRICAL l$wO I AMP SERVICE D PROGRESS ENERGY 0 W,RE.C, <br />D PLUMBING 1$ t~-o I <br />D MECHANICAL 1$&;00 I VALUATION OF MECHANICAL INSTALLATION <br />D GAS D ROOFING D SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I ~/+ I FLOOD ZONE AREA DYES DNO <br /> <br /> <br />.1111.....,11..11.,11111111.111.11.11.......111...11..........111.1111...1..11.......11111......11....11......',1111.............11..11.11.....111 <br /> <br />( <br /> <br /> <br />2 -1/,'// <br /> <br /> <br />;,.", ,/~ ~ <br />~,..'f--& <br />'r.,:// .6,/vd <br /> <br />BUILDER <br />SIGNATUR <br />L ./ <br />Address <br /> <br />ELECTRICIA~~ <br />SIGNATURE . <br /> <br />AddresW"" <br /> <br />~~( <br /> <br />COMPANY <br />REGISTERED <br /> <br /> <br /> <br />PLUMBER <br />SIGNATURE- <br /> <br />Addre~ FLf;)..o'1 (!5.c;// <br /> <br />MECHANIC..'AL I C _ /r.. . // '-. A ~. <br />SIGNATUR~V---' '-QQ....../ I~ <br />~--i <br />Address <br /> <br />OTHER I <br />SIGNATURE <br /> <br />Address I <br /> <br />COMPANY <br />REGISTERED <br /> <br />COMPANY <br />REGISTERED <br /> <br />~'" \ <br />I Y/ N <br /> <br />f" <br />J.:J.~ , I <-\. ( <br />FEE CURRENT 'I Y / N <br /> <br />r <br />I <br />~.()> <br />I <br />dY <br />I <br />~ <br />I <br />I <br />I <br /> <br />License # I <br /> <br />I~ !J-f(l. q ~Vcd <br />Y/ N I FEE CURRENT I Y/N <br />LIcense # I <br /> <br />~Coe-l T ..oq~ I~':/j <br />I Y / N I FEE CURRENT Y / N <br /> <br />License # <br /> <br />%Nf(~E~RZ~ Y/N <br /> <br /> <br />License # I <br /> <br />Y/ N <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />License # <br /> <br />.."",llr""III"'IIII"III'.'II"III'III'IIIIIII'111"1111'1111"1111111111111'1111'11111'1111"1'1'1'11''1111111111"1111'11111'111'11111'1111 <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 />IIIIIIIIIIIIII~IIIIIIJIIIIIIIIIIIIIIIIIIIIIIIIIIII~IIIIIIIIIIIIIIIIIII~III~IIIIIIIIIIIIIIII~IIIIIIII~IIIIIII1lllllilllllllll~lllllllililllllllllli <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 Ale Driveways Fences (Plot/Survey/Footage) <br /> <br />RESIDENTIAL <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br />