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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 />Owner's Name <br /> <br /> <br />I <br />I <br /> <br /> <br />F" Slmpl. TIlI,hold" Add,,", I <br /> <br />I ~\~~\D \.s;;, \\ ~,,~ I LOU 1C0\Y, I <br />PARCEL 10#1 ~~-cV\ - C:J:')\D- ~w:D ~l{\ <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />D SIGN D MOVE D <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Date Received <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />DEMOLISH <br /> <br />WORK PROPOSED <br /> <br />BUILDING SIZE <br /> <br />D PLUMBING <br />D MECHANICAL <br />D GAS <br /> <br />I$~() ~~:b\ I <br /> <br />, <br /> <br />1$ I <br />1$ I <br />1$ I <br />D ROOFING D <br />FINISHED FLOOR ELEVATIONS I I <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />o WR.E.C ~ <br />W\:{\L ~"\l':.\ <br /> <br />BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />~ELECTRICAL <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY D OTHER <br />FLOOD ZONE AREA DYES <br /> <br />DNO <br /> <br /> <br />~~~:::,~ f~;c>~~~~. <br />c::- \ ~ ~# 1~\~U)\I~~ I <br />'33~L\31 ~ ~ -, I <br />COMPANY .f\) ~ Q \-< \\:- <br />REGISTERED Y I N FEE CURRENT I Y I N <br /> <br />License # I \ ~ '\ I <br /> <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y I N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />A~SS <br />~1C'rRICI <br />SIGNATURE <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <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 />License # <br /> <br />Address <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 <br /> <br />License # <br /> <br />III' '1It'IIIII'IIIII'ltlllllttll'1111'1111"11111111IIIII'IIIIllllllllllltllll'lltllll'11111111111'lllltllll'lllllltt'1111111111'II'lllll'III'lllt <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 />I I 1 I I I I I I II I II I I I I 1111 I I II I I d I I I d I I I I I d I I I I I I rI III I I I I I d I I . . ~ I. . . I Ill. oJ I I I I II I I I I II III II I I I H II I rill I . .. II I III I I II. I I II. 11111. IIII IIII I. I, I II <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. (Ale 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 Driveways Fences (Plot/Survey/Footage) <br />