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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 /> <br />WORK PRoposlib <br /> <br />11 <br />Owner Phone Number (l~ ~ ,,~& <br />Owner's Address ~O1-~ tx. 1 Owner Phone Number ~%~11~U <br />Fee Simple Titleholder Name ~ (N 15 - 1 Owner Phone Number 1(1 (3)1 ~<6" 08 J3 I <br />Fdmpl.T,".hdddd"'p ~/:It~ 1l9~(n.illS 1J1.1~ I <br />JOB ADDRESS 131J_ __r~ I LOU I I <br />~ C.AtJ6~-L-t-I~I\~ 1 PARCELID#I O~'&IJ-dJ~~O-~ I <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br /> <br />D NEW CONSTR D ADD/AL T M SIGN 0 MOVE D <br />D INSTALL D REPAIR <br /> <br />PROPOSED USE D SFR ffi' COMM D OTHER <br /> <br />TYPE OF CONSTRUCTION D BLOCK D FRAME D STEEL D OTHER I I <br /> <br />DESCRJProNOFWORK ~at ..otsttll9 Wilt 1aCilififJ <br /> <br />BUILDING SIZE l.oJ~1 SO F~O:AGE ~ HEIGHT _ _. <br /> <br />VALUATION OF TOTAL CONSTRUCTION dt IS, ~~LJ ~ <br /> <br />SUBDIVISION <br /> <br />Owner's Name <br /> <br />DEMOLISH <br /> <br />BUILDING <br /> <br />1$ II, <60& ~ <br />I$l,~dd ~ <br />1$ <br />1$ <br />D <br />TIONS If\l (]v <br /> <br />I <br />I AMP SERVICE g ... PRO:~:~j~Y D <br />I tTv'll2-- TV,I/" ,",lJY~'01 ]$/J <br /> <br />~VAL~:E::y~HANI:J~I1_ ~~ <br /> <br />I FLOOD ZONE AREA DYES DNO <br /> <br />W.R.E.C <br /> <br />~ <br />[21 <br />D <br />D <br /> <br />ELECTRICAL <br /> <br />PLUMBING <br /> <br />D <br /> <br />GAS <br /> <br />ROOFING <br /> <br /> <br />;J.()lJD <br /> <br />MECHANICAL <br /> <br /> <br />rJV <br />1'(ZY <br />OJ~ ao.1!D <br />'DUe? <br /> <br />License # <br /> <br />MECHANICAL I <br />SIGNATURE , <br /> <br />Address I <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y / N FEE CURRENT <br /> <br />Y/N <br /> <br /> <br />License # <br /> <br />THER <br />GNATURE <br /> <br /> <br />COMPANY <br /> <br />Address <br /> <br />Y / N FEE CURRENT I Y / N I <br /> <br />License # ICQc.15e~~ <br /> <br />RESIDENTIAL <br /> <br />0~~ER0 <br /> <br />SIGN PERMIT <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 />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 $5000J <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 <br /> <br />Driveways <br /> <br />Fences (Plot/Survey/Footage) <br />