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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 />Datil Received <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 Name <br /> <br />JOB ADDRESS <br /> <br />Fee Simple Titleholder Address I <br /> <br />~(Y\~ <br />ICbJcc~st- tE:S-t- PYi I <br /> <br />El <br /> <br />PROPOSED USE D <br />TYPE OF CONSTRUCTION D BLOCK D FRAME <br /> <br />DESCRIPTION OF WORK I Po 6 \ f (\ Q los u r-e. <br /> <br />BUILDING SIZE t \ ~ I SQ FOOTAGE I I HEIGHT I <br />11111111111111111'1111111"1111';'111111111"111111111111':111111"1111111111'111111";11'1"'11111111"11111III"IIII'I"'IIII'~/IIIII"'III <br />~ BUILDING 1$ / '6 '50 I -- I VALUATION OF TOTAL CONSTRUCTION t--JO <br /> <br />D ELECTRICAL 1$ I AMP SERVICE q~ss ENERGY D W.R.E.C, <br /> <br />~I ~<:.t-lIVl~(.1~rL/ ~ <br />D PLUMBING 1$ I ~~ A(. - '\LPn~ fWl) <br /> <br />D MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATIO&"'1'~ -,m ~0I1\PO <br /> <br />. 5]L~~ . J ''"Go <br />D GAS D ROOFING D SPECIALTY D OTHER 15' AAlr~ .-"...., .,. <br />I "''If "-" 0ri~tJf .... <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO .' . . J <br />.., 6-3\-0(0 ~~eCl 'Sha...cqP-, <br />1 I I I III I 111I111111111111111111111 I 111111111111111111111111111111111 I I I ~IIIIIIII I I11II1111111111I11111 I 11111I1111111 I III ttWflfffi'1t6i I~~ <br />105, .:>.;:.> <br />BUILDER \) A ..PI ~ 'I COMPANY R- \-l- ~ll 1U2 V(' j' 0 VlS-J- r Il c.. <br />SIGNATURE ~ REGISTERED N <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br /> <br />PARCEL ID#16d d ~ d I W 36 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />I LOT # I ) to <br />6CCOO 0 I 1.00 <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />B <br />D <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br /> <br />D <br />D <br />D <br /> <br />DEMOLISH <br /> <br />I <br />D <br /> <br />OTHER I <br /> <br />OTHER <br />STEEL <br /> <br /> License # <br />Y/N FEE CURRENT <br /> License # <br />Y I N FEE CURRENT <br /> License # <br />Y I N FEE CURRENT <br /> License # <br />YI N FEE CURRENT <br /> <br /> <br /> <br />Address <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />Address <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />License # <br /> <br />I1111I1111II111I1111111111111111111111111I111111111I111111111111111111111111111111111111111111I11111111111111111111111111111111111 <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 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 lelter from owner authorizing same <br /> <br />OVER THE COUNTER PERMITTING (Front of Application Only) <br />Reroofs Sewers Service Upgrades AlC <br /> <br />Address <br />111111111111111 <br />RESIDENTIAL <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Fences (PloUSurvey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />