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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 />~)-~-a\.D <br />~ \ ~ <br />Owner's Address h \..s:;,'--D ~QI{\~\~~ 0< <br /> <br />Fee Simple Titleholder NamJ <br /> <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 />I <br />I <br /> <br /> <br />Fee Simple Titleholder Address I I <br /> <br /> <br />~:::,:~s~::s ~~~~\~~:~L~~-c\)\-~~~~~~ <br /> <br />10STAINED FROM PROPERTY TAX NOTICE) <br />D SIGN D MOVE 0 <br /> <br />D <br />D <br />\~ <br />I <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />~ _NEW CONSTR <br />~ INSTALL <br />D SFR <br />LOCK <br /> <br /> <br />rv ADD/ALT <br />D REPAIR <br />D COMM <br />ME <br /> <br />DEMOLISH <br /> <br />WORK PROPOSED <br /> <br />MECHANICAL <br /> <br />I <br />1$ \\ \.D~&-.s31 <br /> <br />. <br /> <br />1$ I <br />1$ I <br />1$ I <br /> <br />D ROOFING D <br /> <br />~ <br />\ <br />SQ FOOTAGE I ~ 3<.V <br /> <br />HEIGHT <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />BUILDING <br /> <br />~CTRICAL <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY D W.R.E_C_ <br />~\ {Q. "':J~<::-"\, <br /> <br />o <br />o <br /> <br />PLUMBING <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br />-c <br />v <br /> <br />~~~~R': f~~~ll~~j.~ ] <br />'~CV\c.., License # 1'USt CJ:) "\ l ~~I <br />I~ry-~~~'~ I <br />Y / N FEE CURRENT I Y / N <br />License # I \"Gt I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />OTHER <br /> <br />o <br /> <br />GAS <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />DYES <br /> <br />DNO <br /> <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y / N <br /> <br />FEE CURRENT <br /> <br />Y/N <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 />License # <br /> <br />1111111111111111111111'11"1"'111111111111111'111'111""11111111111111111111111'11111111111111111111111111111111""'1111111111111111111111'11'1 <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 onsite, ConstrucUon Plans, Sanitary Facilities & 1 dumpster <br />COMMERCIAL Attach (3) 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 />All commercial requirements must meet compliance. <br />SIGN PERMIT Attach (2) sets of Engineered Plans. <br />....PROPERTY SURVEY required for all NEW construction. <br />1111111111111111111111111111",1,,11,1,\,1111111,11111,1111111111111,11,."",11,1111111111111111111111111111111111111111"1,11,, ",1,1111111",11 <br />Directions: <br />Fill out application completely. <br />Owner & Contractor sign back of applicaUon, 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 NC Driveways Fences (PloUSurvey/Footage) <br />