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<br />813-780-0020 <br /> <br />City of Zephyrhills Pennit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br />Date Received <br /> <br /> <br />)-/0- Z> " <br />< /Vr~L -;J:' ,.L- . <br />~ /(j 1<. .5J 1. <br /> <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />I <br />I <br />I <br />I I <br />..ooBbl <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 />NEW CONSTR <br />INSTALL <br /> <br />~c.J'n k. 'S+ <br />I <br /> <br />B <br />D <br />D <br />lUuod <br /> <br />LOT # <br /> <br />PARCELlD#114 -Z~ .2J - 0270..00000 <br />(OBTAINED FROM PROPERTY TAX NOllCE) <br /> <br />JOB ADDRESS <br /> <br />L.\w?.~ <br /> <br />SUBDIVISION <br /> <br />DESCRIPTION OF WORK <br /> <br />B <br />D <br />D <br />I ?--<- ,4ItLC- <br />. <br />I <br /> <br />SIGN <br /> <br />MOVE D <br /> <br />DEMOLISH <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />SFR <br />BLOCK <br /> <br />ADD/AL T <br />REPAIR <br /> <br />COMM <br /> <br />FRAME <br /> <br />D <br />D <br />D <br />j) / /1-1'c.. <br />I <br /> <br />OTHER <br /> <br />D <br />/ <br />I~ <br />D <br /> <br />OTHER I <br /> <br />STEEL <br /> <br />73::> Ik-k <br /> <br />ro/l... <br /> <br />&/-e-tlruL <br />I <br /> <br />fl.-e'\C./l. <br /> <br />SQ FOOTAGE I <br /> <br />BUILDING SIZE <br /> <br />HEIGHT I <br /> <br />D BUILDING 1$ <br />~ ELECTRICAL 1$ <br />D PLUMBING 1$ <br />D MECHANICAL 1$ <br />D GAS D <br />FINISHED FLOOR ELEVATIONS I <br /> <br />ROOFING <br /> <br />I VALUATION OF TOTAL CONSTRUCTION <br />-I AMP SERVICE ~PROGRESSENERGY D WRE.C. <br />?V <br />I <br />I VALUATION OF MECHANICAL INSTALLATION <br />D SPECIALTY D OTHER <br />I FLOOD ZONE AREA DYES DNO <br /> COMPANY <br /> REGISTERED ~ FEE CURRENT L..r..L.!!...J <br /> <br />2-56 <br /> <br />BUILDER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />~ <br /> <br />License # I <br /> <br />E/~ 7i.c ~ <br />~ <br />License # I E L 00 /S,r2({Ll I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />FEE CURRENT <br /> <br />Address <br /> <br />/d <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />7/~ <br /> <br />I ;~~~:E~ I ~ <br />V4-tf~/ 1-/1.. ,)~k r;0 Flr <br />I COMPANY I <br />REGISTERED ~ <br /> <br />FEE CURRENT <br /> <br />L..r..L.!!...J <br /> <br />37ft> J CJ~fl"'~C <br />. <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 />~ <br /> <br />FEE CURRENT <br /> <br />L..r..L.!!...J <br /> <br />Address <br /> <br />License # <br /> <br />OTHER <br />SIGNATURE <br /> <br />FEE CURRENT <br /> <br />L..r..L.!!...J <br /> <br />Address <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 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 />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. (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 />OVER THE COUNTER PERMITTING (Front of Application Only) <br />Reroofs Sewers Service Upgrades AlC Fences (ploVSurvey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />