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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-78o-0021 <br /> <br />Date Received <br /> <br /> <br />efTY <br /> <br /> <br />l- 1-1, II <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 Add..... <br /> <br />Fee Simple Titleholder Name I <br /> <br />JOB ADDRESS <br /> <br />Fee Simple TItleholder Add..... I <br /> <br />14536 <br />Iz.-I-It" II ~ <br /> <br />SJ<'iQ/\/--L <br /> <br />L,<III.! (... <br /> <br />LOT' <br /> <br />/lAv...,. A,>\..f'<l....~ <br /> <br />PARCEL IDI I I &- - 1-fo- z.."l. - 002..0 - 00 1::> 00 - 000 ~ <br />(OBTAINED FROM PROPERTY TAIl NOTICE) <br />SIGN D MOVE 0 <br /> <br />OEMOLISH <br /> <br />SUBDMSION <br /> <br />BUILDING SIZE <br /> <br />B <br />o <br />o <br />I L/ltVlJ S c C)PE- <br />I <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br /> <br />BLOCK <br /> <br />E3 <br />D <br /> <br />ADD/ALT 0 <br />REPAIR <br />o <br />D FRAME 0 <br /> <br />:I:Rfl.. (\4 TIIJN <br /> <br />COMM <br /> <br />OTHER <br />STEEL <br /> <br />I <br />D <br /> <br />OTHER I <br /> <br />WORK PROPOSED <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUcnON <br /> <br />DESCRIPTION OF WORK <br /> <br />SQ FOOTAGE I <br /> <br />HEIGHT I <br /> <br />D BUILDING 1$ I VALUATION OF TOTAL CONSTRUCTION <br />D ELECTRICAL 1$ I AMP SERVICE D PROGRESS ENERGV D W.R.E.C. <br />[2g PLUMBING 1$ 1550. ,,~ I <br />D MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION <br />D GAS 0 ROOFING D SPECIAL TY ~ OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DVES DNO <br /> <br />COMPANV <br />REGISTERED <br /> <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />IW04U.v~ V~ $U.v./ J,,~, $~"1'"(.. <br />I ft) N I fEE CURRENT ~ <br /> <br />License # I J.SS CJ g:>? ? 9 <br /> <br />License # <br /> <br />COMPANV <br />REGISTERED <br /> <br />BUILDER <br />SIGNATURE <br /> <br />VI N <br /> <br />FEE CURRENT <br /> <br />UL!:!...J <br /> <br />Add..... <br /> <br />ELECTRICIAN I <br />SIGNATURE <br /> <br />Add..... I <br /> <br />PLUMBER I <br />SIGNATURE <br /> <br />I <br /> <br />COMPANY <br />REGISTERED <br /> <br />VI N <br /> <br />fEE CURRENT <br /> <br />UL!:!...J <br /> <br />License # <br /> <br />VIN <br /> <br />FEE CURRENT <br /> <br />UL!:!...J <br /> <br />License # <br /> <br />Add..... <br /> <br />MECHANICAL I <br />SIGNATURE , <br /> <br /> <br />.,.:- ~~~ <br />SIGNATURE ~ <br />Add..... I g z. II 4' COM';ufo'"l' /A- ( <br /> <br />COMPANY <br />REGISTERED <br /> <br />VI N <br /> <br />feE CURRENT <br /> <br />UL!:!...J <br /> <br />License # <br /> <br />RESIDENTIAL <br /> <br />I COMPANY <br />, REGISTERED <br /> <br />W~ <br /> <br /> <br />Attach (2) Plot Plans; (2) se\s of BuHding Plans; (1) set of Energy Fonns <br />Minimum ten (10) wor1<ing days after submittal date. Required onsite. Construction Plans, Sanitery Facililies & 1 dumpster <br />Attach (3) se\s of Building Plans; (1) set of Energy Forms. <br />Minimum ten (10) wor1<ing days after submittal date. Required onsite. Construction Plans, Sanitery Facilities & 1 dumpster <br />All commercial requirements must meet compliance. <br />Attach (2) se\s of Engineered Plans. <br />....PROPERTY SURVEV required for aU NEW construction. <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Directions: <br />Fill out application completely. <br />OWner & Contractor sign beck of application. notarized <br />If over $2500, a Notlce of Commencemen1ls required. (AIC upgredes over $5000) <br /> <br />Agent (for the contractor) or Power of Allomey (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 Sawars Service Upgredes AlC Fences (PIot/Survey/Footage) <br /> <br />Drlv_~Not over Counter if on public roadways..needs ROW <br />