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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 Recerved <br /> <br /> <br />u.. (t-{,~ <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 />JOB ADDRESS <br /> <br />Fee Simple Titleholder Address I <br /> <br />I tfl4 {PO <br />I~ 1-1/.. OJc~ <br />B <br /> <br />PROPOSED USE D <br />TYPE OF CONSTRUCTION D <br /> <br />DESCRIPTION OF WORK I <br /> <br />SUBDIVISION <br /> <br />\ht.L~ I <br /> <br />A~~ Y'L-L~ ~^- <br /> <br /> <br />PARCELlD#1 O':S- d(O- 21- 0220 - ()O boo - OO~O <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br /> <br />SIGN D MOVE D <br /> <br />LOT # <br /> <br />WORK PROPOSED <br /> <br />r-=:J ADD/ALT D <br />D REPAIR <br />D COMM D OTHER <br />D FRAME D STEEL D OTHER I <br /> <br />lp<;<f~L \ an. ( 'A-r- \ Ot-' ~~~ <br /> <br />BUILDING SIZE I I SQ FOOTAGE I I HEIGHT I I <br />1111"'111111'111111'11111"'111"'111111"'111111""111111111111"111111111111111,1'111"11111"'1111111"1'111111111111'111111...1111111'1'1111 <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br /> <br />DEMOLISH <br /> <br />BLOCK <br /> <br />1$ I <br />1$ I <br />1$ I <br /> <br />D MECHANICAL 1$ I <br /> <br />D GAS D ROOFING D SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />111I11111111111111111111111111111111I111111111111111111I111111111111111111111111111111111II11111111111111111I1I11I11111111111111111I11111111111111 <br />I <br />I <br />I <br />I <br />: <br />I <br />I <br />I <br />I <br /> <br />D BUILDING <br />D ELECTRICAL <br />eM PLUMBING <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 />COMPANY <br />REGISTERED <br /> <br />BUILDER <br />SIGNATURE <br /> <br />Y/ N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />ELECTRICIAN I <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br /> <br />License # <br /> <br />Address <br /> <br /> <br />MECHANICAL I <br />SIGNATURE <br /> <br />Address I <br /> <br />OTHER I <br />SIGNATURE <br /> <br />Address I License # <br /> <br />111111111111111111111111111111111111111111111111I1111111111I1111I1111111111111111111111111111I1111111I11II1111111111111111111111111111111111111111 <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 onslte, 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 />11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <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. (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 AlC <br /> <br />COMPANY <br />REGISTERED <br /> <br />~IL~ trL!2-, " . <br />.... N FEE CURRENT i(!) N I _ <br />License # I (DO .~ 0 'i <br />I <br /> <br />PLUMBER <br />SIGNATURE <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 />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Fences (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />