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<br />81~1.780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br />Date 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 Nam <br /> <br />Fee Simple Titleholder Address <br /> <br />JOB ADDRESS I :3 If ~Jr1 A /lJe.J- j {I'S I- tv~q LOT # Iy/r <br /> J ./ <br />SUBDIVISION I [rMJ'~Ld JJoi /lk I PARCEL ID# I c:J.tj-~~ -J./ -(JOs-a - ()Q1J:) - cJ-/ tjU <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED ~ NEW CONSTR B ADD/AL T D SIGN D MOVE D DEMOLISH <br /> INSTALL REPAIR <br />PROPOSED USE D SFR D COMM D OTHER I <br />TYPE OF CONSTRUCTION D BLOCK D FRAME D STEEL D OTHER I <br /> \S \f. .J' mJ .Jt;r <br /> j <br />BUILDING SIZE c! (PO I HEIGHT I <br /> SQ FOOTAGE <br /> <br /> <br /> <br />~"'" :~~:~::~~"'" '::~,'~ ~~' :.~~:""""". ':"'" '::~:::c:~'~~~~~' ~~~~~;::~~~~~~ ~~~R~~""" ="" ~.~.~.~. <br /> <br />D PLUMBING 1$ I <br />D MECHANICAL 1$ I <br /> <br />D GAS D ROOFING D <br /> <br />FINISHED FLOOR ELEVATIONS I I <br /> <br /> <br /> <br />:~~~~RE !~/d~~:=r o~~:~~ <br /> <br />~~ ~~ I <br /> <br /> <br />~:ci;::~O;;~~d~~' I ~::= <br /> <br /> <br />Address _ _ <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA.. <br />.,..;;;.~ <br /> <br /> <br />OTHER <br /> <br />owur-- <br /> <br />I Lar~ <br />I Y IN <br /> <br />License # <br /> <br />/1JOI'4CLfJ <br />FEE CURRENT <br /> <br />Y/N <br /> <br />PLUMBER <br />SIGNATURE <br /> <br /> License # <br />Y/N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />"1'11111111111 1111111111'111111111111111111111111111111111111"'11"1"""""1111111111111""'1""1,""11111111111111111'111111111111111111 <br /> <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 />COMMERCIAL Attach (3) 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 />All commercial requirements must meet compliance. <br />SIGN PERMIT Attach (2) sets of Engineered Plans. <br />....PROPERTY SURVEY required for all NEW construction. <br />111111111111111111111111111111111111111111111111111111111111111111111111111111111111111,1111111111111111111111111111111111111111111111111111111111 <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. (A/C 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 /> <br />OVER THE COUNTER PERMITTING (Front of Application Only) <br />Reroofs Sewers Service Upgrades AlC <br /> <br />Fences (Plot/Survey/Footage) <br /> <br />Driveways.Not over Counter if on public roadways..needs ROW <br />