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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 />" ' - <br />(~~ , I ...) <br /> <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Date Received <br /> <br /> <br />.sc. () Ku.;,/JL'Jj <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder NamJ <br /> <br /> <br />Fee Simple Titleholder Address I <br /> <br />JOB ADDRESS 41:, Cf' ( <br /> <br />'It'll, <br /> <br />'F"LA.vlol.... sT, Ze,/~J.LyeJ.J/II5, FL. LOT # <br /> <br />1 PARCELlD#l/lj-')h - 2/- 6270 ~ tJOl>OD - ooBo <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />D ADD/ALT D SIGN 0 MOVE D <br />D REPAIR <br />D COMM D <br />D FRAME D <br /> <br />~OO B~v- <br /> <br />SQ FOOTAGE I <br /> <br />SUBDIVISION <br /> <br />BUILDING SIZE <br /> <br />.11...11.....11..1111..11..............111..........11......11.......................11............1111............11.....11111111....111.11111111 <br /> <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />DEMOLISH <br /> <br />WORK PROPOSED <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />OTHER <br />STEEL <br /> <br />I <br />o <br /> <br />OTHER I <br /> <br /> <br />- ~ iZlc=~~''-hL <br />I HEIGHT 1 <br /> <br />1"16C6 <br /> <br />D BUILDING 1$ <br />D ELECTRICAL 1$ <br />D PLUMBING 1$ <br />D MECHANICAL 1$ <br />D GAS D <br />FINISHED FLOOR ELEVATIONS I <br /> <br />ROOFING <br /> <br />1 <br />I <br />I <br />I <br />D <br />I <br /> <br />AMP SERVICE <br />!tJ~ /I,../~ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br />~ PROGRESS ENERGY <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />S'Vo - -- <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY D OTHER <br />FLOOD ZONE AREA DYES <br /> <br />DNO <br /> <br />.11..11.....11....11..1111..11..111..111.....111.................111........11111..........11.'......1111...........111......1111111111.1111....11 <br /> <br />COMPANY <br />REGISTERED <br /> <br />BUILDER <br />SIGNATURE <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />ELECTRICIAN I <br />SIGNATURE . <br /> <br />License # <br /> <br />ALpll,q. <br />I Y7 N I <br /> <br />~/-e?ll?c.L- <br />FEE CURRENT I Y / N I <br /> <br />License # I ~ K.3~t>1S"'Z,4'1 <br /> <br />Address <br /> <br /> <br />COMPANY <br />REGISTERED <br /> <br />PLUMBER <br />SIGNATURE <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 />COMPANY <br />REGISTERED <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />Y/N <br /> <br />Address <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />OTHER <br />SIGNATURE <br /> <br />Address <br /> <br />111'11111111" 11111111'1111111"1111111"'111111111111"1111111'1111111111111111""1111'.11111"'.'1111111'..1111'11.1111111.111111111'111111111 <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 />III~IJIIIIIIIIIIIIIIIIII.~IIIIIIII~.JIIIIIIIIIIIII.~~~IIIII~.IIIIII~IIIIIIIIIIIJ~~IIII.~IIIIIIII~IIIIIIIIIII111111..11111.11111.111111111111111111 <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 />