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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 />Dlle Recel'Ved <br /> <br /> <br />I <br />I <br />, <br />I~\~~\ \~\\\ ~,l~-" I LOT# I~~~ I <br />PARCEL 10# I ~ ~ -0:::>\ - C:J:':)\D ~ ()c;)~.3 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />\ V K\ \\\\--\ <br />Owner'sAddress 1"\ ~~-=s \ \:\{~Q{:)~Q\~ . <br /> <br />Fee Simple Titleholder NamJ <br /> <br />Owner's Name <br /> <br />Fee Simple Titleholder Address <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />~ \j~ \\t'l('\c~1 <br /> <br />~ l\JEW CONSTR r-u.--ADD/AL T D <br />~iNSTALL D REPAIR <br />PROPOSED USE D SFR D COMM D OTHER I~\.'m\\\~ <br />TYPE OF CONSTRUCTION ~K ~ D STEEL ~ER ~ <br /> <br />DESCRIPTION OF WORK \. '-\~\ '\.{ , \ . N\\N~""\LC\ \~t)) ~l~~-\-. <br /> <br />BUILDING SIZE 1 I SQ FOOTAGE 5~ \ I HEIGHT I I <br /> <br />111111111111111111111111111111111..11111111...1111111111111111111111..11111111111111111.1111111111111111111111I1IIIIIIII1111111111111111111 <br /> <br />~ BUILOING 1$ \CJ.iVc-, \.~ I VALUATION OF TOTAL CONSTRUCTION <br />d' ELECTRICAL 1$ I AMP SERVICE D PROGRESS ENERGY J( h ~ . <br /> <br />1$ I <br />1$ I <br />D GAS D ROOFING D <br />FINISHED FLOOR ELEVATIONS I I <br /> <br />WORK PROPOSED <br /> <br />DEMOLISH <br /> <br />D <br />D <br /> <br />PLUMBING <br /> <br />MECHANICAL <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />OTHER <br /> <br />DYES <br /> <br />DNO <br /> <br />BUILD~- <br />SIGNATURE <br /> <br /> <br />ELECT~ <br />SIGNATURE <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y I N FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />MECHANICAL I <br />SIGNATURE . <br /> <br />Address I <br /> <br />OTHER I <br />SIGNA TURE <br /> <br />Address I <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y / N FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y / N FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />111""'11111111111111'11111111111'1'111111111111111111111'111111111111111'111111111111111111111'111111111111"'11"'111111111111111111111111'1111 <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 onsite, 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 ali NEW construction. <br />1.",11111 ,111"1111111111,1,."..11111""11,,.1111,1,,,,11111111."",111"",,1111111111111,1111111..,11111111111111111111111,11111111111111111 <br />Directions: <br />Fili 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 NC Driveways Fences (Plot/Survey/Footage) <br />