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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 />C.Dnn~l\ <br />5 5 ~Q. '8 +-'"' ~t-~<<- \- <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Name I <br /> <br /> <br />I <br />I <br /> <br />I <br />S "~~t- I LOTtI I i4-;';l9.1 <br />PARCELlD#III.~tt). ~ I.COl o. J4~DD.' OJ 1c) I <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN 0 MOVE 0 <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number 16 i 3 . <br /> <br />Owner Phone Number I <br /> <br />Owner's Name <br /> <br />JOB ADDRESS <br /> <br />Fee Simple Titleholder Address I <br /> <br />155~~ <br />I <br /> <br />\a~ <br /> <br />NEW CONSTR <br />INSTALL <br /> <br />I <br />8 <br />o <br />o <br />heJ\.k'\ <br /> <br />OTHER I P,€.p'c:>..c.<-""",~ '" ~ <br />STEEL 0 OTHER I <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />8 <br />o <br />o <br />I WOvt~'( <br />I <br /> <br />SFR <br />BLOCK <br /> <br />SQ FOOTAGE I <br /> <br />o <br /> <br />~ <br />o <br />R e.p.l ~ L€.XY\. eT\. \- <br /> <br />I HEIGHT I <br /> <br />ADD/ALT <br />REPAIR <br /> <br />COMM <br /> <br />FRAME <br /> <br />DEMOLISH <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />1$ <br /> <br />1$ <br /> <br />1$ .3oD. Ot> <br /> <br />o MECHANICAL 1$ <br /> <br />o GAS 0 ROOFING <br />FINISHED FLOOR ELEVATIONS I <br /> <br />0 BUILDING <br />0 ELECTRICAL <br />00 PLUMBING <br /> <br />I <br />I <br />I <br />I <br />o <br />I <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />PROGRESS ENERGY <br /> <br />o <br /> <br />W.RE-C. <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECiAlTY 0 <br />FLOOD ZONE AREA <br /> <br />OTHER <br />DYES <br /> <br />DNO <br /> <br />BUILDER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br />Address <br /> <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />Address <br /> <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />Address <br /> <br />COMPANY <br />REGISTERED <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br />RESIDENTIAL <br /> <br />Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fonns <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 Fonns. <br />Minimum ten (10) working days after submittal date. Required onsile, 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. lAIC upgrades over $5000) <br /> <br />Agent (for the contractor) or Power of Attorney (for the owner) would be someone wilh notarized letter from Owner authorizing same <br /> <br />OVER THE COUNTER PERMITTING (Front of Application Only) <br />Reroofs Sewers Service Upgrades AlC Fences (PloUSurvey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways"needs ROW <br />