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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 />~ <br />Owner's Address 1\\ ~~~ \. ~'\6L(,)~\~ (J( , <br /> <br />Fee Simple Titleholder NamJ <br /> <br /> <br />I <br />I <br />I <br />I c~l"-o~CS 1 i='<V\l \ V ~~~ 'k\J'V.. I LOT# {~3 I <br />PARCEL ID#b-\ -c0~ ~\ -CL'b -~"::) ~ <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br /> <br />SIGN D MOVE 0 <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />, Date Received <br /> <br />Owner's Name <br /> <br />Fee Simple Titleholder Address <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />~ NEW CONSTR <br />~ INSTALL <br />o SFR <br /> <br />DEMOLISH <br /> <br />WORK PROPOSED <br /> <br />DESCRIPTION OF WORK <br /> <br /> <br />OTHER~''ffi~>l' \ <br />-\-' <br /> <br />~UILDING <br /> <br />BUILDING SIZE I I <br />111111111111111111111111111111111111111111111111"11".1111.1111111111111111.1111.11111....1111111....11.11.,..111.1111111111111111111111111111111 <br /> <br />1$8,"6\\'l\ <br /> <br />1$ <br /> <br />D PLUMBING 1$ <br /> <br />D MECHANICAL 1$ <br /> <br />DGAS D <br />FINISHED FLOOR ELEVATIONS I <br /> <br />HEIGHT <br /> <br />ROOFING <br /> <br />I <br />I <br />I <br />I <br />D <br />I <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY D WR.E,C, <br />---..s, ( Q.. ~\\'d <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />~~ECTRICAL <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />ELECTRIC I <br />SIGNATURE <br /> <br /> <br />SPECIALTY D <br /> <br />LOOD ZONE AREA <br />~? <br />,.... -"J <br /> <br />OTHER <br /> <br />DYES <br /> <br />DNO <br /> <br />. ~~~.:.~~q~~~~~~3\ ~\ .1 <br />.~ 7*-~ License # K-et~~-.C\'{~ <br />I~'\~~~~)-I Y/N <br /> <br />License # I ~\ <br /> <br />BUILDER <br />SIGNATURE <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/ N FEE CURRENT <br /> License # <br />Y / N FEE CURRENT <br /> License # <br />Y I N FEE CURRENT <br /> License # <br /> <br />Y/N <br /> <br />Address <br /> <br />MECHANICAL I <br />SIGNATURE . <br /> <br />Address I <br /> <br />OTHER I <br />SIGNATURE <br /> <br />Address I <br />111111111111"'1111111111'1"'11111111"11"'1'1111111111111"'1111111111""'1111111'111111'11""'111111111111""11111"1'1111111111'1"'1'1111 <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 onslte, 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 onslte, 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 />",.,1111,11111111111111,..,1111111111111111111111111111111".,111,1111111111111111,1111111111,11111,11,111.1,1111111111.,,1,111111111111111111111 <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 NC Driveways Fences (Plot/Survey/Footage) <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br />