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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 />Owner's Name <br /> <br /> <br />'3 - 30..0 (0 <br /> <br />Date Received <br /> <br />Owner's Address <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />DESCRIPTION OF WORK <br /> <br />f!j <br /> <br />D <br />D <br /> <br />I f'Jn.>1,,;.cT <br /> <br />I SQ FOOTAGE I <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />E3 <br />D <br />D <br />f?o&l <br /> <br />LOT# I <br /> <br />PARCELlD#1 ~ -d-/i. -a-I - 61J-~-CbJOD- 699 ( <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />ADD/ALT D SIGN D MOVE D <br />REPAIR <br />D <br />D <br /> <br />DEMOLISH <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />COMM <br />FRAME <br /> <br />OTHER I <br />STEEL D <br /> <br />OTHER I <br /> <br />BUILDING SIZE I <br /> <br />11..........11....11...11.......11....................11..1111.................................................................................... <br /> <br />HEIGHT I <br /> <br />0 BUILDING 1$ 3o(X::)O, dc> 1 VALUATION OF TOTAL CONSTRUCTION <br />0 ELECTRICAL 1$ I AMP SERVICE D PROGRESS ENERGY D W.R.E.C. <br />0 PLUMBING 1$ I ~Oc.. .~. <br />D MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION pIe (:?L\ L <br />D GAS D ROOFING D SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES DNO <br /> <br />BUILDER <br />SIGNATURE <br /> <br /> <br />License # <br /> <br />.ELECTRICIAN <br />SIGNATURE <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />III. . , r I , , , I , I1IIII . . , . , , , , III P , 111I11I . r 11II111 , , . I , 1I11III , 1111II111 . , II111111I111111111 , , 1111 , , IIII1IIII1I . , II . . . . . . , I , . III , 1111111111 , , I , II111 <br /> <br />RESIDENTIAL <br /> <br />SIGN PERMIT <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 onslle, 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 onsile, 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 />III~IIIIIIIIIIIIIIIIIII~~IIIIIIIIIIIII..IIIII..IIIIII......IIIIIIIIII~I..IIIIIII~~IIIIIIIIIIIIIII~~I..IIIIII11~~~lilllllllllllll~I~~~~lllllllillli <br />Directions: <br /> <br />COMMERCIAL <br /> <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 AlC Driveways Fences (PloUSurvey/Footage) <br />