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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 />Date Received <br /> <br /> <br />KeN" A-L <br /> <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 />:z7 t\X- ~ <br /> <br />I <br />I <br />I <br />I <br />BD\ <br /> <br />Fee Simple Titleholder Address I <br /> <br />If/:'3 4 <br /> <br />JOB ADDRESS <br /> <br />- <br />t~1L <br /> <br />sr. <br /> <br />L-CO!lyLJJ.,-/IS I fZ. <br />f <br />PARCEL ID# I / lj - 2- , - '2 (- 6 2 7 C . 00 lJ ~ () , <br /> <br />LOT # <br /> <br />~o <br /> <br />SUBDIVISION <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />DEMOLISH <br /> <br />WORK PROPOSED <br /> <br />I <br />o <br />t!o ~d # <br /> <br />OTHER I <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />...........1...11....111..11..................................,..........1111......111................11.....1111.........11.11.............111111 <br /> <br />D BUILDING 1$ <br />[J2{ ELECTRICAL 1$ <br />D PLUMBING 1$ <br />D MECHANICAL 1$ <br />D GAS D <br />FINISHED FLOOR ELEVATIONS I <br /> <br />ROOFING <br /> <br />I <br />I <br />I <br />I <br />D <br />I <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE ~ROGRESS ENERGY <br />/PO <br /> <br />D <br /> <br />W.R.E.C, <br /> <br />;ls-t!J. -- <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY D OTHER <br />FLOOD ZONE AREA DYES <br /> <br />DNO <br /> <br />11...11...1111..111.........11..111.....11.....11..........111........111........111..............1111..........111....1.1111111111111111111111111 <br /> <br />BUILDER I <br />SIGNATURE <br /> <br />Add"", I <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />If' ~ 7/~ <br /> <br />3 7Y"~ 0'" oeA,., <... <br /> <br />Address <br /> <br /> <br />COMPANY <br />REGISTERED <br /> <br />License # <br /> <br />I Y IN I <br />I E R- 00/5'2-4 'f <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />Y I N FEE CURRENT <br /> License # <br />Y I N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> License # <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 />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />111'11111111111111111'1111111111111111111111111111111111111111111111111111111111111"'11111111111111111111'1""IIIIII""IIII"'lfr"'IIIIIIIII" <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 />IIIIIII~~~IIIIIIIIIIIIIIIII.I~IIIIIIIIIIIIIIIII~IIIIIIIIIIII...IIIIIIII..II..~IIIII'I.IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII.~IIIIIIIIIIIIIIIIIIIIIIIII <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 AlC Fences (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />