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<br />~Ioron <br /> <br />D\'S-\-. <br />~c <br /> <br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Departmenl <br /> <br />Fax-813-780-0021 <br /> <br />Date Received <br /> <br /> <br />Owner's Name <br /> <br />I <br />I <br />I <br /> <br />I LOT # ctrJ <br />PARCELID#I/ ::?-~(p. ~/. (X;('f)-Oc.jCJcn- c.>ato <br />(OBTAINEO FROM PROPERTY TAX NOTICE) <br />ADD/AL T D SIGN D MOVE D <br />REPAIR <br />D OTHER <br />D STEEL D OTHER I ("' o/}r / L.f e. <br /> <br />.Inslcc/L f'o1uek dT'P ~ iar- F.0c<-a <br /> <br />I sa FOOTAGE I ~50 0 I HEIGHT l. <br /> <br />D BUILDING 1$ t1ocx:J. c::. <br /> <br />o ELECTRICAL 1$ <br /> <br />o PLUMBING 1$ <br /> <br />o MECHANICAL 1$ <br /> <br />o GAS D <br />FINISHED FLOOR ELEVATIONS 1 <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Name I <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />JOB ADDRESS <br /> <br />Fee Simple Titleholder Address I E5 <br /> <br />13<1 400 5o~ <br />I <br /> <br />WORK PROPOSED <br /> <br />NEW CONSTR <br />I NST ALL <br /> <br />A(( <br />I <br />E3 <br />D <br />D <br /> <br />DEMOLISH <br /> <br />SUBDIVISION <br /> <br />DESCRIPTION OF WORK <br /> <br />B <br />D <br />D <br />I <br /> <br />SFR <br /> <br />BLOCK <br /> <br />COMM <br /> <br />FRAME <br /> <br />PROPOSED USE <br /> <br />TYPE OF CONSTRUCTION <br /> <br />BUILDING SIZE <br /> <br />ROOFING <br /> <br />1 <br />I <br />1 <br />I <br />D <br />I <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />o <br /> <br />W.R.E.C <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />OTHER <br /> <br />DYES <br /> <br />ONO <br /> <br />BUILDER <br />SIGNATURE <br /> <br /> <br />I~~ <br />~ FEE CURRENT <br /> <br />License # I <br /> <br />l....Y..!.lU <br /> <br />Address <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />~ <br /> <br />FEE CURRENT <br /> <br />l....Y..!.lU <br /> <br />Address <br /> <br />License # <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED ~ FEE CURRENT l....Y..!.lU <br /> License # <br />COMPANY <br />REGISTERED ~ FEE CURRENT l....Y..!.lU <br /> License # <br />COMPANY <br />REGISTERED ~ FEE CURRENT l....Y..!.lU <br /> License '# <br /> <br />Address <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />Address <br /> <br />OTHER <br />SIGNATURE <br /> <br />Address <br /> <br />RESIDENTIAL <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 onsile, Construction Plans, Sanitary Facilities & 1 dumpster <br />Attach (3) sets of Building Plans; (1) set of Energy Forms. <br />Minimum len (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 />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Directions: <br />Fill oul application completely. <br />Owner & Contractor sign back of application, notarized <br />If over $2500, a Nolice of Commencement is required. (AlC upgrades over $50001 <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 Driveways Fences (Plot/Survey/Footage) <br />