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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 Received <br /> <br /> <br />OLEA~ <br /> <br /> <br />~co Re$fit]:A. <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Owner's Name <br /> <br />Owner's Address I <br /> <br />Fee Simple Titleholder NamJ <br /> <br />JOB ADDRESS <br /> <br />Fee Simple Titleholder Address I <br /> <br />I 'f 7tJ 'I. <br />I ' <br /> <br />47D2. <br /> <br />r:.~ ~ 5-1 <br />I <br />B <br />D <br />D <br /> <br />LOT # <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />PARCELlD#I/Lf - 2' - ~ I - o~ 7 (j - c.)D(,) c) c) ~ 00 60 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN 0 MOVE D <br /> <br />SUBDIVISION <br /> <br />111...11..........1...11........11....111.................11..1111.........11.......111.........111.11.........1..............11111..11....111.111 <br /> <br /> <br />ADD/All <br />REPAIR <br />COMM <br />FRAME <br /> <br />D <br />D <br />D <br /> <br />DEMOLISH <br /> <br />WORK PROPOSED <br /> <br />OTHER <br />STEEL <br /> <br />BUILDING SIZE <br /> <br />OTHER I <br />;(tt..i,-~1- (flble~. <br />I <br /> <br />D BUILDING 1$ I VALUATION OF TOTAL CONSTRUCTION <br />~ ELECTRICAL 1$ Sc>O. - I AMP SERVICE ~ PROGRESS ENERGY D W.R.E.C. <br /> / ()Gl fI-"'ps. <br />D PLUMBING 1$ I <br />D MECHANICAL 1$ 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 />..1111.11111..............11..........11..11.......11...111.11.............,..........11.....111...11.......11...11........111.......111...1111.11 <br /> <br />BUILDER I <br />SIGNATURE <br /> <br />Address I <br />ELECTRICIAN ~ / -~ <br />SIGNATURE .?!~ ,,;.. <br />Address 3. 7YoS- OfU\~t:. v4A <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y / N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />COMPANY <br />REGISTERED <br /> <br />II ,-pl/4- <br />I Y / N I <br /> <br />License # I <br />,- ~ .r7'A.- <br />C,t::',J /C,.( ~ <br />FEE CURRENT I Y / N I <br /> <br />License # I it i2. 00 i !: Z. 4 4 <br /> <br />PLUMBER <br />SIGNATURE <br /> <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 /> <br />Y/N <br /> <br />Address <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />111'11111111111 Iltll'IIIIIIIIIIIII"IIIIIIIIIIIIIIIIIIIII",,1111111111111..'.'111111'1111111111'1".1111111111111'1..1111111'1.1'...111111111'" <br /> <br />RESIDENTIAL 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 />COMMERCIAL 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 />SIGN PERMIT Attach (2) sets of Engineered Plans. <br />....PROPERTY SURVEY required for all NEW construction. <br /> <br />IIIII~~IIIIIIIIIIIIIIIIII..I.IIIIIIIIIIIII.~..~.~~.~IIIIIIIIII.~~~~IIIIIIIIII.~~I~~IIIII..~IIIIIIIIIIIIIIII.IIIIIIIIII~~IIIIIIIIIII~IIIIIIIIIIIIII <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. (A1C 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 A1C Fences (PloUSurvey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />