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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 />o <br />s,rJWfG! ~ <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 Namel <br /> <br />Fee Simple Titleholder Address I <br /> <br />.&--r37 <br /> <br />JOB ADDRESS <br /> <br />g J1-I9TP..~ / <br /> <br />I <br /> <br />E3 ADD/ALT 0 <br />REPAIR <br />D COMM D <br />D FRAME 0 <br />8JtVDLit< (JJ4f{I1:x;,f - () t// <br />. <br /> <br />I I SQ FOOTAGE I I <br /> <br />1111111"""11111111111""1111111'..11111111111111111111""111111"1111'11'111111"'1'1111111'1111111111111111111111111"11111111111111111'1111 <br /> <br />WORK PROPOSED <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />I <br /> <br />PARCEL ID#I ) / -).(P -.,< 1- 00/0 - oBc; Of} .- OOCoO <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN 0 MOVE D <br /> <br />LOT # <br /> <br />SUBDIVISION <br /> <br />DESCRIPTION OF WORK <br /> <br />E1 <br />o <br />D <br />LA.rr-z <br /> <br />DEMOLISH <br /> <br />I <br />o <br /> <br />OTHER I <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />OTHER <br />STEEL <br /> <br />BUILDING SIZE <br /> <br />HEIGHT I <br /> <br />1$ I <br /> <br />o ELECTRICAL 1$ I <br /> <br />o PLUMBING 1$ I <br /> <br />o MECHANICAL 1$ i!:>(})O ~ 1 <br /> <br />o GAS D ROOFING D SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS 1 I FLOOD ZONE AREA DYES DNO <br /> <br />I111II11111111111I11I11111I11111111111111111111111I111111111II111II111111I1111I11111II11111I11111II111111111111I111111111111I1111I1111111111111111 <br />I <br />I <br /> <br />o <br /> <br />BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />BUILDER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/ N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />ELECTRICIA <br />SIGNATURE <br /> <br /> <br /> <br />Liqmse # <br /> <br /> <br />FEE CURRENT <br /> <br />License # <br /> <br />I &1<. OOI358'~ <br />- <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y / N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br /> <br />License # <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />I EM r/:1RP;Jn'lf.If}}A:J- ~J1/f)Z.~rd< 5 <br />I Y / N I FEE CURRENT Y / N I <br /> <br />License # kdft, / e / 1'17?-.- I <br /> <br />I <br />I <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address License # <br /> <br />111111111I1111111111I11111111II111II111111111111I1111111111111111I111111111111II1111I111111111111I1111111111111111II1111111111I111111111111111111I <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 onsite, 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 />111111111111111111111111111111111111111111111111111111111111111111111111111I1111111111111111111111111111111111111111111111111111111111111111111111 <br />Directions: <br />Fill out application completely. <br />Owner & Contractor sign back of application, notarized <br />If over $2500, a Notice of Commencement 15 required. (Ale 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 AlC <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Fences (PloVSurvey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />