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<br />81:1-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br />Date Received <br /> <br /> <br />Ke ;J"f'i*L, :r:AJC", <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 <br /> <br />Fee Simple Titleholder NamJ <br /> <br />Fee Simple Titleholder Address I <br /> <br />L{63o <br /> <br />BUILDING SIZE <br /> <br />B <br />D <br />D <br />I K.eJJ/~ <br />. <br /> <br />I <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />rv...~~ 61: <br /> <br />I <br /> <br />D ADD/All <br />D REPAIR <br />D COMM D <br />D FRAME D <br /> <br />VJbOj D4:;;lL /l/4rc.... <br />. <br /> <br />SQ FOOTAGE I <br /> <br />Zc-.Il4 /h4 /~ . %"t" <br />, r <br />PARCELlD#1 /'1 ~ Zb - 2r1- 0'2 '70 - t::)u'r;,{JG - DDi30 <br />./ (OBTAINED FROM PROPERTY TAX NOTICE) <br />~ SIGN 0 MOVE D DEMOLISH <br /> <br />LOT # <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <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 />DESCRIPTION OF WORK <br /> <br />HEIGHT I <br /> <br />.....11...111..1111.111..111..11...111....111..11.........1111..........................................11.........11.......11.1111.111111111...11 <br /> <br />1$ <br />1$ <br />o PLUMBING 1$ <br />o MECHANICAL 1$ <br /> <br />o GAS D <br />FINISHED FLOOR ELEVATIONS I <br /> <br />-:2-5Z> . <br /> <br />--- <br /> <br />1 <br />1 <br />1 <br />1 <br />D <br />I <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C, <br /> <br />o <br /> <br />BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />~ ELECTRICAL <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />ROOFING <br /> <br />SPECIAL TV D OTHER <br />FLOOD ZONE AREA DYES <br /> <br />DNO <br /> <br />.......1111..1111.......................11...11.........11...................11.11............111...111...11........111...111.11111111...111.111.1 <br /> <br />BUILDER I <br />SIGNATURE <br /> <br /> <br />Add~'1 <br />ELECTRICIAN. /:J.....~ <br />SIGNATURE L=6 <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br /> <br />COMPANY <br />REGISTERED <br /> <br />Lf\\Q~ VeaJ,-. <br />I Y / N I FEE CURRENT I Y / N I <br /> <br />License # I if Lot:> 152 t{ t..( <br /> <br />7-~ <br /> <br />Address 3 7'10 y- D'ZAtv <:.-- <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/ N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address License # <br /> <br />1"'11111111111 1111""111111111111111111111111111111111111111111111111111111111111111111"'1""1"'1"11111"1111111111111I11111111111111111111 <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 />1111111111111111111111111 IIII 11111. .. I . 1111111111111111111111111111111111111111111 . ~ 111111111111111111111111111 III . . I ~ 1111111111111111111111111111 <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 />