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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 />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />I \ <br />Owner Phone Number <br /> <br />.I I <br /> <br />Date Received <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder NamJ <br /> <br />Fee Simple Titleholder Address <br /> <br />I <br />1)[l)y,1 hJ\ 5 <br />I <br /> <br />WC~ f'v <br />PARCEL 10# I / 1- <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />B <br />D <br />D <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />B <br />D <br />D <br /> <br />AD DIAL T <br />REPAIR <br />COMM <br />FRAME <br /> <br />! LOU L~ l<t <br />z~~JI -(]O/() -/zOO() <br />(OBTAINED FROM PROPERTY TAX NOTICE) 0 0..0 <br />SIGN 0 MOVE D DEMOLIsH <br /> <br />OTHER I It:fOa\f( 9('oacJjof ,'?oaL... <br />STEEL 0 OTHER I <br /> <br />JOB ADDRESS <br /> <br />.-) <br />'t.:-< <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />SQ FOOTAGE <br /> <br /> <br />I <br />I <br /> <br />DESCRIPTION OF WORK <br /> <br /> <br />,\0\...> nd <br /> <br />BUILDING SIZE <br /> <br />b <br /> <br />BUILDING <br /> <br />[ ...., <br />......... <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br />.c7.(). CO <br />AMP SERVICE c;&J PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />~ ELECTRICAL <br />0 PLUMBING <br />0 MECHANICAL <br />0 GAS <br /> <br />ROOFING <br /> <br />I <br />I <br />D <br /> <br />~ <br />('JOe.. ~;l ;f'I"~ <br /> <br />1$ <br />1$ <br />D <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />SPECIALTY D OTHER <br />FLOOD ZONE AREA DYES <br /> <br />GNo <br /> <br />Address <br /> <br /> <br />~'CTYV\ C rrw Y1 E ~ <br />Y I N I FEE CURRENT <br /> <br />Y/N <br /> <br />BUILDER <br />SIGNATURE <br /> <br />" <br /> <br />l/z <br />I <br /> <br />License # <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />\.-\ov--n.e- ~ <br />I Y I N I FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <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 />MECHANICAL I <br />SIGNATURE <br /> <br />Address I <br /> <br /> <br />~'~":TURE !y~~_~ <br /> <br />Address . <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />./ <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y I N FEE CURRENT <br />License # I <br />I~Sff~~~ <br /> <br />Y/N <br /> <br />License # <br /> <br />11'1'lfll'IIIIIII"111111111111111111111111111111111111111111111111'11111111111"1'1'11111111111111111111111"111""11111111111111111111111111111 <br /> <br />COMMERCIAL <br /> <br />Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms <br />Minimum ten (10) working days atter 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 atter submittal date. Required onsile, 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 />1111111111111111111111111111111111111111111111~1111~&~.~I.I'I~~I"'~~~I..~&&I.~~~I'~I'I""I"IIII~~III'IIII1IIIIIil~~.IIIII~III~llli&~illllllllli <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 />RESIDENTIAL <br /> <br />SIGN PERMIT <br /> <br />OVER THE COUNTER PERMITTING (Front of Application Only) <br />Reroofs Sewers Service Upgrades AlC <br /> <br />Driveways <br /> <br />Fences (PloUSurvey/Footage) <br />