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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 />Owner's Name <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 />Fee Simple Titleholder Address <br /> <br />JOB ADDRESS <br /> <br /><.3 J>(P,3tf <br /> <br />{Ot,dft <br /> <br />'./ <br /> <br />120:iL1 <br />I <br /> <br />NEW CONSTR c::J <br />INSTALL D <br />PROPOSED USE D SFR D <br />TYPE OF CONSTRUCTION D BLOCK D <br /> <br />DESCRIPTION OF WORK Is/~ /Yi.re S kd <br /> <br />I ')/A ( V ~/l I I <br />BUILDING SIZE . OL--U' /'- 6LV <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />~ <br /> <br />~ <br /> <br />LOT # <br /> <br />PARCELlD#1 <br /> <br />Or:) - ~ ...)./ - (J)OJ- rJJ tj ()() - (joaJ <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />ADD/All <br />REPAIR <br />COMM <br />FRAME <br /> <br />o <br />D <br />o <br /> <br />DEMOLISH <br /> <br />OTHER I <br />STEEL D <br /> <br />OTHER I <br /> <br />SQ FOOTAGE I [;,;10 ~ <br /> <br />&P" I "~~I~~;~~"""" 'I~' ;~;;.' .~~"."""."""., '~;:~~~I~~' ~~ '~~~~~. ~~~~~~~~~;~~..,..."""""."""""""""'."" , <br /> <br />o ELECTRICAL 1$ AMP SERVICE D PROGRESS ENERGY D W.R.E.C. <br /> <br />o PLUMBING 1$ <br /> <br />1$ <br />o <br /> <br />o <br /> <br />MECHANICAL <br /> <br />o <br /> <br />D <br /> <br />GAS <br /> <br />ROOFING <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br /> <br />BUILDER <br />SIGNATURE <br /> <br />~rJ-'i.. (!~{ C~1JI- <br />1'.0. (JOX fft, OL!J'J'It2/ ~'-'Aj.r <br />I <br /> <br />Address <br /> <br />ELECTRICIAN I <br />SIGNATURE <br /> <br />Address I <br /> <br />PLUMBER I <br />SIGNATURE <br /> <br />Address I <br /> <br />HEIGHT I <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />OTHER <br /> <br />DYES <br /> <br />~NO <br /> <br />COMPANY <br />REGISTERED <br /> <br />J'e.re~~'.s <br />I Cfj N I FEE CURRENT <br /> <br />~ <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />I~)N <br /> <br />/I.&m~ <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Y/N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> License # <br />Y / N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> License # <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 />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />1111111""'" 1."""11111111111111111111111111111111111."'1"11111111111111111111111,,"1111111111111111111111111,',"111111111111111111111'11 <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 />III11II1I1111111111111111111111111111111111111111111111111111111111111111111111111.111111111111111111111111111111111I11111111111111111111111111111 <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 (PloUSurvey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />