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<br />-\~-a <br />\ \ ~ <br />Owner'sAddress ~ ~~ ~Q Q( <br /> <br />Fee Simple Titleholder Namd <br /> <br />Fee Simple Titleholder Address I <br /> <br />I~\u)a~ \s; \ \ ~~~ I lOT# ~~ <br />~ \::-{~ W\~ I PARCElID#I.~-~~\-C::C::K:J~~-~"'tD <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />813-780-0020 <br /> <br />Date Received <br /> <br /> <br />Owner's Name <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />DESCRIPTION OF WORK <br /> <br />BUilDING SIZE <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />~.-NEWCONSTR ~ADD/AlT D <br />~ INSTAll D REPAIR <br />D SFR D COMM D OTHER I <br />~CK 0 ~ STEEL D <br /> <br />~~-::::>\.i.~\ ~cs:.(~~_ <br /> <br />I SQ FOOTAGE I \S)~ I HEIGHT I <br /> <br />DEMOLISH <br /> <br />OTHER 4~'~)0' <br /> <br /> <br />I <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br /> <br /> <br />BUILDING <br /> <br />~ELECTRICAL <br /> <br />D PLUMBING <br /> <br />o MECHANICAL <br /> <br />o GAS <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />I~~~~~>-D <br />1$ <br />1$ <br />1$ <br /> <br />D ROOFING <br /> <br />D <br /> <br />PROGRESS ENERGY D WR,E,C <br />~ \l \L~~ <br /> <br />AMP SERVICE <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />D <br /> <br />SPECIALTY D OTHER <br />FLOOD ZONE AREA DYES <br /> <br />DNO <br /> <br />l"'o.... <br /> <br />~~:~:,:~~~usE~~~ ~I. <br />.j?~ License # ~~~-'C\~~ I <br />;~~~:R~~ I \T';; ~ ~~~~~ ~ I -Y I N I <br />I License # I \"6\ I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />YI N <br /> <br />FEE CURRENT <br /> <br />Address <br /> <br />License # <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />YI N <br /> <br />FEE CURRENT <br /> <br />Address <br /> <br />License # <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />YI N <br /> <br />FEE CURRENT <br /> <br />Address <br /> <br />I I " 111I1111111 <br />RESIDENTIAL <br /> <br />License # <br /> <br />111111'11111""11111111111111111111111111111111111111111111111111111"111111111111111111111'1111111'11'1'1111111111111111111'1111 <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 onslte, 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 />1IIIIIIlllllllllllllljllllllllllllllll~II~IIIIIII&1111.11~11~1.'llllllllllllllllllljlllllllllllllll~11111111111111111111111111111111111111111111,1 <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 Ale Driveways Fences (PloUSurvey/Footage) <br />