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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 Recei~ed <br /> <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Owne~s Name <br /> <br />Ow"", Add".. h~~'\' <:-{t:Ii2C\~~ <br /> <br />Fee Simple Titleholder Nam <br /> <br />JOB ADDRESS <br /> <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />~DD/ALT <br />UREPAIR <br />D COMM <br />D F M <br /> <br />~ \L\ w; <br /> <br />, <br /> <br />I I SQ FOOTAGE I ~:S~ <br /> <br />III1IIIIIIII111111111111111111111111111111111111111I111..111111111111111111111111111111..111111111111111111..1111111111111111111111111111111111111 <br /> <br /> <br />I~~~~~.'-\I I <br />1$ t I <br />1$ I <br />1$ I <br /> <br />D ROOFING D <br /> <br />~ ~EW CONSTR <br />~INSTALL <br />D SFR <br />CK <br /> <br />'" ~~ LOT # Ic~\"~ I <br /> <br />PARCELID#I~-~~\-(::j:J\D~~ ~\~ I <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN MOVE D <br /> <br />DEMOLISH <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />DESCRIPTION OF WORK <br /> <br /> <br /> <br />BUILDING SIZE <br /> <br />HEIGHT <br /> <br />~ BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />~ECTRICAL <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />3'\(Q, ~~ <br /> <br />D <br />D <br /> <br />PLUMBING <br /> <br />MECHANICAL <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />~oi- ~ <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />OTHER <br /> <br />D <br /> <br />GAS <br /> <br />DYES <br /> <br />DNO <br /> <br />BUlL <br />SIGNATUR <br /> <br />~, ~6"1..c License # --~ -\'\ ~ <br /> <br />;~::E I ~~:r~~~ I&;~~! <br /> <br />I License # I \"6,\ <br /> <br />ELECT <br />SIGNA TUR <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y / 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 />SIGNATURE <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 I N FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />11111111111111111'11'1'1111111111111111111"1111111111111'1"11'111111'1111111111111111111111111111111111111111111111111111111111111111111111'1111 <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 onslte, 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 onslle, 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 />11"1111111111111.,,111111111111111111,,,1111,.,111111..',.1,.,11.",,111'1,11,11,'1'111'11,,1111111,11111.,,,111111111111111,1111,,1,,11111111111, <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 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 />