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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 />':;)-/0 - D~ <br />(''';/~L <br />{t.A-<tJu.... <br /> <br />I~L. <br />G,T< <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 />JOB ADDRESS <br /> <br />LOT # <br /> <br />PARCEL ID# I <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />NEW CONSTR <br />INSTALL <br /> <br />SFR <br /> <br />BLOCK <br /> <br />I <br />B <br />D <br />D <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE 0 <br /> <br />DEMOLISH <br /> <br />SUBDIVISION <br /> <br />DESCRIPTION OF WORK <br /> <br />B <br />o <br />o <br />I <br /> <br />ADD/ALTO <br />REPAIR <br />COMM 0 <br />FRAME 0 <br /> <br />OTHER I <br />STEEL D <br /> <br />WORK PROPOSED <br /> <br />OTHER I <br /> <br />BUILDING SIZE <br /> <br />SQ FOOTAGE I <br /> <br />HEIGHT I <br /> <br />0 BUILDING 1$ <br />ru( ELECTRICAL 1$ <br />0 PLUMBING 1$ <br />0 MECHANICAL 1$ <br />0 GAS 0 <br />FINISHED FLOOR ELEVATIONS I <br /> <br />'"2- cfU . <br /> <br />,,- <br /> <br />I VALUATION OF TOTAL CONSTRUCTION <br />I AMP SERVICE ~ PROGRESS ENERGY D WR.E.C. <br />~D <br />I <br />I VALUATION OF MECHANICAL INSTALLATION <br />D SPECIALTY 0 OTHER <br />I FLOOD ZONE AREA DYES DNO <br /> COMPANY <br /> REGISTERED Y/N FEE CURRENT I Y/N I <br /> License # <br /> <br />ROOFING <br /> <br />BUILDER <br />SIGNATURE <br /> <br />Address <br /> <br />/:J ../' ?/~ I COMPANY {1;,t-~ 11-/1 !f:fc c..l~ "- <br /> <br />(. d./L--. REGISTERED I( / N ' FEE CURRENT ~ <br /> <br />""J7lfi)S o/2Yt7<=- vM'I"t/ J-,4. O~-+4-?, <br />I COMPANY I <br />. REGISTERED <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />Address <br /> <br />License # <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />l..Y..L!:!...J <br /> <br />Address <br /> <br /> License # <br />COMPANY <br />REGISTERED Y/N FEE CURRENT l..Y..L!:!...J <br /> License # <br />COMPANY <br />REGISTERED Y/N FEE CURRENT l..Y..L!:!...J <br /> License # <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />Address <br /> <br />OTHER <br />SIGNATURE <br /> <br />Address <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 Pians, 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 Attomey (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 <br /> <br />Fences (Plol/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />