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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 />Owner's Address <br /> <br />Fee Simple Titleholder NamJ <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Owner's Name <br /> <br />JOB ADDRESS <br /> <br />Fee Simple Titleholder Address I <br /> <br />I ~Li 2. d-. <br />I <br /> <br />d~\d <br /> <br />~-\- <br />I <br />B <br />D <br />D <br /> <br />LOT # <br /> <br />PARCEL 10#1 <br /> <br />SUBDIVISION <br /> <br />1111...11...111..111..111.....111....111..1111...111..111.....111.........1..............111111................11........111...................... <br /> <br />B <br />D <br />D <br />I e.e ~o~ 30 '-\{L <br /> <br />I SQ FOOTAGE I <br /> <br />ADD/AL T <br />REPAIR <br />COMM <br />FRAME <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D DEMOLISH <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />D <br />D <br />D <br /> <br />WORK PROPOSED <br /> <br />OTHER <br />STEEL <br /> <br />I <br />D <br /> <br />OTHER I <br /> <br />DESCRIPTION OF WORK <br /> <br />HEIGHT I <br /> <br />BUILDING SIZE <br /> <br />0 BUILDING 1$ )500. I VALUATION OF TOTAL CONSTRUCTION <br /> a-u <br />0 ELECTRICAL 1$ I AMP SERVICE D PROGRESS ENERGY D W.R.E.C. <br />0 PLUMBING 1$ I <br />0 MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION <br />0 GAS ~ ROOFING D SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I 1 FLOOD ZONE AREA DYES DNO <br /> <br />111..111..111....'.........11.............11.......................11.11.....11111..................11......1111...........11.........,.......11.. <br /> <br />BUILDER i \ <br />SIGNATURE' <::I ~ <br />Address <br /> <br />W-~ ~~ <br />I Y / N I FEE CURRENT I Y I N <br /> <br />~€~~~ <br />t <br /> <br />COMPANY <br />REGISTERED <br /> <br /> License # <br />Y/N FEE CURRENT <br /> License # <br />Y / N FEE CURRENT <br /> License # <br />Y I N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> License # <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />Address <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />OTHER <br />SIGNATURE <br /> <br />Address <br /> <br />III1III1III1111 "'lllr'IIIIIIIIIII""IIIIIIIIIIIIIIIIIIIIIIIII'111111111"111111111111111111111111111111111..111111111.1"111111111111'111111111 <br /> <br />RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms <br />Minimum ten (10) wDrking days after submittal date. Required Dnsite, 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 onslte, 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 constructiDn. <br /> <br />1IIIIIIIlll~lljIIIIJIIIIIIIIIII~1111111111111111111111IIIIIIIII~I~IIIIIIIIIIIIIIII~IIIIIIIIII~IIIIIIIIIIIIIIIIII~~~IIIIIIIII~IIIIIIIIIIIIII~~IIIII <br />Directions: <br />Fill out application cDmpletely. <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 SDmeone with notarized letter from owner authorizing same <br /> <br />OV~~TER PERMITTING (Front of Application Only) <br />~ Sewers Service Upgrades A/C Fences (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />