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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 />Da~e Received <br /> <br /> <br />(--h(~}awd <br /> <br />I <Sl5(l . <br /> <br /> <br />OWner Phone Number <br /> <br />OWner Phone Nu~r <br /> <br />5_.~5-0<O <br /> <br />Owner's Name <br /> <br />Owner's Address I, '5 ~ 2 <br />Fee Simple Titleholder Nam~ <br /> <br />I <br /> <br />LOT 1# l...4:..--J <br /> <br />Fee Simple Titleholder Address <br /> <br />JOB ADDRESS <br /> <br /> <br />SUBDIVISION o A- It.. f2- tJ .() I -25-;;)\- O\bO- 0006-(:)(:)'+ <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED E1 NEW CONSTR B ADD/ALT 0 SIGN 0 MOVE 0 DEMOLIsH <br /> INSTALL REPAIR <br />PROPOSED USE D SFR D COMM D OTHER I I <br />TYPE OF CONSTRUCTION 0 BLOCK 0 FRAME 0 STEEL 0 OTHER I I <br />DESCRIPTION OF WORK I f'y:~d . S\CLb (2'-10 oS,!> H-) I <br />BUILDING SIZE I SQ FOOTAGE I I HEIGHT I <br /> <br />...."...,11...,.........,1.....,111,.................,....'..'...,1....,1,....,1,.,1.."...."....1,..,1.111,..........,1.."............,111111.. <br /> <br />0 BUILDING 1$ 500, ex::> VALUATION OF TOTAL CONSTRUCTION <br />0 ELECTRICAL 1$ AMP SERVICE D PROGRESS ENERGY 0 W.R.E.C. <br />0 PLUMBING 1$ <br />0 MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br />D GAS 0 ROOFING D SPECIALTY 0 OTHER <br />FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES DNO <br />BUILDER +\0Y"'n.JL0 0...rn;1......~ I <br />SIGNATURE I Y / N I FEE CURRENT Y/N <br />Address License # I <br />ELECTRICIAN COMPANY I <br />SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br />Address License # I <br />PLUMBER COMPANY I <br />SIGNATURE REGISTERED Y/N FEE CURRENT Y/N <br />Address License # I <br />MECHANICAL I COMPANY I <br />SIGNATURE REGISTERED Y / N FEE CURRENT Y/N <br />Address I License # I <br />OTHER I COMPANY I <br />SIGNATURE REGISTERED Y/N FEE CURRENT Y/N <br />Address I License # I <br /> <br /> <br />1111'1111111'11' I'" I 1'1 1'1'111 I II 1'1'11111111111' I' I 1"111 I 1'1111111'1111111111" 11111111111111111111 I 11111 r 111111" I 1111111111'111111111111111 r 1 <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 onslle, Construction Plans, Sanitary Facilities & 1 dumpster <br />COMMERCIAL Attach (3) sets of Building Plans; (1) set of Energy Fonns. <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 />111111111111111111111111111111111111111111111111111111111111.,.IIIIIIIII.....llllllllllliillllllillllll.llil1IIIililllllllliillliliiilliijjllillii <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. (A/C 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 Driveways Fences (PloUSurvey/Footage) <br />