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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 t!P <br /> <br />Date Received <br />.. <br /> <br /> <br />I <br />I <br />I <br />LJ~o I <br />I <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Nam <br /> <br />Fee Simple Titleholder Address I <br /> <br />00/Cj <br /> <br />JOB ADDRESS <br /> <br />IJ1INtf!<V A- .5/. <br />, <br /> <br />2 e P 11''1(2 I-/- ((-LA. f2.-:3 3:5: Y- 2. LOT # <br />, <br /> <br />PARCEL ID#lo3;tb.:llo lID 00000 t 2>0 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE 0 <br /> <br />ADD/AL T <br />REPAIR <br />COMM <br />FRAME <br /> <br />D <br />o <br />o <br /> <br />DEMOLIsH <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />E1 <br />o <br />D <br />I 5-\-0' a..~ <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />OTHER I <br />STEEL D <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />OTHER I <br /> <br />I <br />I <br />I <br /> <br />DESCRIPTION OF WORK <br /> <br />D <br />D <br />D <br /> <br />PLUMBING <br /> <br />MECHANICAL <br /> <br />GAS <br /> <br /> <br />BUILDER <br />SIGNATURE. <br /> <br />I RlW6- ~s-\~~ <br />I 6) N I FEE CURRENT I Y f(!V I <br /> <br />License # I <br /> <br />Ie AJJ/A.eIJ;J t1 EdJ-r #t. {lfi VI t1l <br />I G1"N J FEE CURRENT ~N I <br /> <br />License # I e t2-o t> I 3 ,,(f..3 <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/ N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />Address <br /> <br />MECHANICAL I <br />SIGNATURE . <br /> <br />Address I <br /> <br />OTHER I <br />SIGNATURE <br /> <br />Address I <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/ N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y / N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />RESIDENTIAL <br /> <br />, IIII If , III , , IIIII I r III I , 1111 , I t II11 , II1III1 . rr I , II . IIIIII I , IIII II r III ~ III . . , , , III r I r , , III , II , , II . . r III1 , , III , 1IIIII II r II , r r , III , 1 fI , I , , rill r IIIII <br /> <br />License # <br /> <br />CQMMERCIAL <br /> <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 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 />SIGN PERMIT <br /> <br />I I I I J I I I I I I I I I · I I I I I I I I I I I L . I I I I I I , I I I . I I I . I I j . I I I I . I I I ". . I I . I I I I ~ . I I I I I I I I . . I I I I I . I I I I I I I ~ . I I I I I i I I I I I I I I I i I I I I I i I i I I I I & I I I I I I J I I Iii ~ I Iii I i Iii I Iii <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. (A1C 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 ApplicatJon Only) <br />Reroofs Sewers Service Upgrades AlC Driveways Fences (Plot/Survey/Footage) <br /> <br />I <br />