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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 Rec,ived <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 /> <br />Owner's Address I ~ s<- ~ /7 <br />Fee Simple Titleholder Namel <br /> <br />/ 3 .f-A. /lv,- <br /> <br />Fee Simple Titleholder Address <br /> <br />JOB ADDRESS <br /> <br />3<;<-~/ 7 <br /> <br />/ 3 -1-1'\,4 V c- <br /> <br />LOT # <br /> <br />WORK PROPOSED <br /> <br />B <br /> <br />PROPOSED USE D <br /> <br />TYPE OF CONSTRUCTION D <br /> <br />DESCRIPTION OF WORK I L{P.4 va) c- Sev J " LC- <br /> <br />BUILDING SIZE I . I SQ FOOTAGE I HEIGHT I <br />1111111"1111111111111"1'111'11111""1111"'111111"l'rlll"IIIII""IIIIII"'I,""II"'IIIII'IIIII""'1Itlllllll'IIIIIIIIIIIII'IIIIIIIII'1111 <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />I <br />B <br />D <br />D <br /> <br />PARCELlD#111 -:2~-LI-ooIO -0;).3 ()(}-rxYi{ <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br /> <br />ADD/AL T D SIGN D MOVE D DEMOLISH <br />REPAIR <br /> <br />COMM D <br /> <br />FRAME D <br /> <br />SUBDIVISION <br /> <br />OTHER I <br />STEEL D <br /> <br />OTHER I <br /> <br />o <br />[Z2(' <br /> <br />1$ I <br />1$ /OOU. c?v> I <br /> <br />o PLUMBING 1$ I <br /> <br />o MECHANICAL 1$ I <br /> <br />o GAS D ROOFING D SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I 1 FLOOD ZONE AREA DYES DNo <br /> <br />1111111111I111111111111111111111111111111111111111111111I111111111111111111111111111111111111111111111111111111111111111111111111I1I11111111111111 <br /> <br />ELECTRICAL <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE ,ltZJ' PROGRESS ENERGY <br />100 ~f ~"tc'" <br /> <br />D <br /> <br />W,R.E,C, <br /> <br />BUILDING <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 />Address <br /> <br />License # <br /> <br />Address , <br /> <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />I Y IN I <br />I &'c/100IJ!?:> <br /> <br />License # <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y I N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y I N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />11I11111111111111111111111111111111111111111111111111111I11111111111111111111111111111111111111111111111111111111111I111111I111111 <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 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 />11111I11111I11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <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. (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 NC <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 />