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<br />813-780-,.020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br />Fee Simple Titleholder Nam <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 Name <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Address <br /> <br />LOT # I 2.-1 <br /> <br />PARCELID#I'?>6- ~s - ~ \ - 00\0- \ :;L(obO-- 0000 I <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />'1--L <br /> <br />SUBDIVISION <br /> <br /> <br />JOB ADDRESS <br /> <br />~ <br />t;Zl <br /> <br />D NEWCONSTR c=J ADD/ALT D <br />D INSTALL D REPAIR <br />PROPOSED USE D SFR D COMM D <br />TYPE OF CONSTRUCTION D BLOCK D FRAME D <br /> <br />DESCRIPTION OF WORK I 4- d-d. / 1- I (J "-1 :jfQ '::fro i'" J' ~ Roo 'vJ <br /> <br />BUILDING SIZE I g:1 ~ 50 I I SQ FOOTAGE I 2110 I <br /> <br />....1111..111...111.......11...11.....11....111..11.................'1...........,11..........111...11111111........111........11.111...'11.111111 <br /> <br />1$ ~50() t <br /> <br />1$ <br /> <br />D PLUMBING 1$ <br /> <br />D MECHANICAL 1$ <br /> <br />D GAS D <br />FINISHED FLOOR ELEVATIONS I <br /> <br />OTHER I <br />STEEL D <br /> <br />WORK PROPOSED <br /> <br />DEMOLISH <br /> <br />OTHER I <br /> <br />HEIGHT I <br /> <br />BUILDING <br /> <br />~ALUATION OF TOTAL CONSTRUCTION <br />I MP SERVICE D PROGRESS ENERGY <br />r> <br />b\ J - ~ - - r~ 1YI <br />,...- \. <br />'Z'~I2..~ }~.;::r{ ~.~.'3 ")\ r-. <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />D <br />,JOL- <br /> <br />ELECTRICAL <br /> <br />W.R.E.C. <br /> <br />I <br />I <br />D <br />I <br /> <br />....1...11...11....111..111...11..................................11.........1111...11.............111..........111......111111111111111111111111' <br /> <br /> <br /> <br />~ I ~l.. ;r' <br />BUILDER /l ( J . · <br />SIGNATURE _ ~ t<rn ::1"-" g<7 d4 - <br /> <br />Address _L _ <br />'2.. 7 r y.~ <br />~~;~:~~:N ! '?J --' C</1-- :LJ 7 akI I <br /> <br />Address <br /> <br />PLUMBER I <br />SIGNATURE <br /> <br />I <br /> <br />ROOFING <br /> <br />SPECIALTY D <br /> <br />FLOOD ZONE AREA <br /> <br />OTHER <br /> <br />DYES <br /> <br />DNO <br /> <br />COMPANY .~ uJ iJ. E R.. <br />REGISTERED ~Y / N' I FEE CURRENT <br /> <br />I License # I <br /> <br />COMPANY 1:{7J fA; iJ r-t <br />REGISTERED ) /y / N F FEE CURRENT <br /> <br />License # I <br /> <br />Y/N <br /> <br />Y/N <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/ N <br /> <br />FEE CURRENT <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 />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y / N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />1111'11'1111111111111..1111111'111111'11111111111111111"111111111111"'111...111"'111111111111""'1111111"'Ilplllll'.......'III"."'-IIII"" <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 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 /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />111111111~~~IIIIIIIIIII.IIIIIIII~llllllllllllllll.~111IIIII~I~IIIII~IIIIIIIIIIIIIIIIIII.IIIII.IIIIIIIIII.IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII~IIIIIIII <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 Fences (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />