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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 />:r:. IV t::- <br />FlANk 51. <br /> <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 Address <br /> <br />Fee Simple Titleholder Name I <br /> <br />Fee Simple Titleholder Address <br /> <br />WORK PROPOSED <br /> <br /> <br />NEW CONSTR <br />INSTALL <br /> <br />~un\< Sk- <br /> <br />I PARCELID#I/Y- 26 -2-{ - D210 -ODoOO -OO&p <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br /> <br />B <br />o <br />o <br />uoJ. <br /> <br />JOB ADDRESS <br /> <br />y L7d-.D <br /> <br />LOT # <br /> <br />SUBDIVISION <br /> <br />ADD/AL T <br />REPAIR <br /> <br />SIGN <br /> <br />D <br /> <br />MOVE D <br /> <br />DEMOLISH <br /> <br />PROPOSED USE <br /> <br />TYPE OF CONSTRUCTION <br /> <br />SFR <br /> <br />COMM <br /> <br />OTHER <br /> <br />BLOCK <br /> <br />FRAME <br /> <br />OTHER I <br /> <br />~<.C-/fZ:L f"1~TLJ2-s <br /> <br />BUILDING SIZE <br /> <br />HEIGHT <br /> <br />D <br /> <br />1$ <br />1$ ). S-o <br />1$ <br />1$ <br />D <br /> <br />FINISHED FLOOR ELEVATIONS I <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />BUILDING <br /> <br />ROOFING <br /> <br />I <br />I <br />I LD /lr"lf-S <br />I <br />o <br />I <br /> <br />VALUATION OF TOTAL CO~S7 <br />AMP SERVICE PROGRESS ENERGY <br /> <br />D <br /> <br />W.RE.C. <br /> <br />~ELECTRICAL <br /> <br />D PLUMBING <br />D MECHANICAL <br />D GAS <br /> <br />SPECIALTY D <br /> <br />OTHER <br />DYES <br /> <br />DNO <br /> <br />FLOOD ZONE AREA <br /> <br />BUILDER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />~ <br /> <br />FEE CURRENT <br /> <br />l...Y..L!!...J <br /> <br />~'-I <br />ELECTRICIAN <br />SIGNATURE <br /> <br />//~- <br /> <br />License # I <br /> <br />COMPANY I ~ JZ/~/TR..I <- <br />REGISTERED I N FEE CURRENT ~ <br />DA:f.L. e;::x I::c. - License # I E ~ (/ D /5 2 lt4'1 <br /> <br />COMPANY I I <br />REGISTERED ~ FEE CURRENT l...Y..L!!...J <br />I <br />I <br />I <br />I <br />I <br /> <br />Address <br /> <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />Address <br /> <br />MECHANICAL I <br />SIGNATURE . <br /> <br />Address I <br /> <br />OTHER I <br />SIGNATURE <br /> <br />Address I <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />~ <br /> <br />FEE CURRENT <br /> <br />l...Y..L!!...J <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />~ <br /> <br />FEE CURRENT <br /> <br />l...Y..L!!...J <br /> <br />License # <br /> <br />RESIDENTIAL <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 submijtal date. Required onsite, Construction Pians, 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 />COMMERCIAL <br /> <br />SIGN PERMIT <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. (AIC 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 (PioUSurveylFootage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />