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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 /> <br /> <br />Date Received , <br /> <br />Owner's Name <br /> <br />Owner's Address I s (p Lt l J S' \- ' Q.. eA. s- Y <br />Fee Simple Titleholder Name I <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Fee Simple Titleholder Address I <br /> <br />ll-j53'6 qa~LL <br />I r; ~S \~ ~"~d,, <br />~ <br /> <br />PROPOSED USE ~ <br />TYPE OF CONSTRUCTION [:2l <br /> <br />DESCRIPTION OF WORK I rJe vJ <br /> <br />JOB ADDRESS <br /> <br />LOT f. <br /> <br />I :l 0 <br /> <br />f2&nch <br />I <br />E3 <br />D <br />D <br /> <br />SUBDIVISION <br /> <br />PARCEL IDlII Y - 2 Cp. 1.1 - 0 ( 1 0, 00000 ". 0 2. 0 () <br /> <br />10BTAINED FRO" PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED <br /> <br />NEW CONSTR <br />INSTALL <br /> <br />SFR <br /> <br />BLOCK <br /> <br />ADD/ALT <br />REPAIR <br /> <br />COMM <br />FRAME <br /> <br />o <br />o <br />o <br /> <br />o <br /> <br />MOVE 0 <br /> <br />SIGN <br /> <br />DEMOLISH <br /> <br />I <br />o <br /> <br />OTHER <br />STEEL <br /> <br />OTHER I <br /> <br />BUILDING SIZE <br /> <br />SFt) <br />I SQ FOOTAGE I <br /> <br />'~9 ~ <br /> <br />IXJ BUILDING 1$ J';-O,OOO I <br />Q!I ELECTRICAL 1$ I <br />~ PLUMBING 1$ I <br />~ MECHANICAL 1$ I <br />0 GAS [AJ ROOFING D <br />FINISHED FLOOR ELEVATIONS I I <br /> <br />HEIGHT I <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br />200 <br /> <br />Q(J <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />W.R.E.C, <br /> <br />NOe. <br />eOw <br /> <br />V <br />7' <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY 0 OTHER <br />FLOOD ZONE AREA DYES DNO <br /> <br />BUILDER <br />SIGNATURE <br /> <br />1//111 tJ9Jll€f <br />I ' <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br />ELECTRICIAN! /II /) <br />SIGNATURE . ~1t, <br /> <br />Address <br /> <br />:~~~~E I. 1Jj) <br /> <br /> <br />Address , <br /> <br /> <br />:~~~~~I:L I. 1/4 ~ <br /> <br />Address . <br /> <br /> <br />~I~HN~~URE 1 1JJd ~ <br /> <br />Address , <br /> <br />&Q;/M <br /> <br />., <br /> <br />COMPANY <br />REGISTERED <br /> <br />CJ~ <br /> <br />, <br /> <br />COMPANY <br />REGISTERED <br /> <br />COMPANY <br />REGISTERED <br /> <br />COMPANY <br />REGISTERED <br /> <br />lZ.r""Q^ (o,..\~. . 1:-.c. <br />Y I N I FEE CURRENT I Y I N <br /> <br />license f. [ <br /> <br />e c. f .t- p~ feD Fie l. , <br />I Y I N I FEE CURRENT I Y I N <br /> <br />License t# <br /> <br /> <br /> <br />W, II; 4...., <br /> <br />FEE CURRENT <br /> <br />LIcense t# I <br /> <br />S' 0(.( ~ker" ~.V1,(or +- <br />I Y I N I FEE CURRENT I Y I N <br /> <br />license .. <br /> <br />e y''''' 4-" <br />I YI N I <br /> <br />~o -t." <br />FEE CURRENT <br /> <br />Y/N <br /> <br />License f. <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 onsile, 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 /> <br />RESIDENTIAL <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <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. (AIC 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 Application Only) <br />Reroofs Sewer.; Service Upgrades AlC Fences (PloVSurwylFootage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />