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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 Received <br /> <br /> <br />. 0 ~ V\..i Qr'"\. <br />fJCf.-vCt J;Jt A"h f- <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 I J (I Z z.. <br />Fee Simple Titleholder Namel <br /> <br />Fee Simple Titleholder Address I <br /> <br />38 JI( <br /> <br />,Joul-!? ~ <br /> <br />I PARCELlD#I/lf-2Ct -2-/ - bOlO - 01100- Ole,O <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />D NEW CONSTR c=J ADD/AL T D SIGN D MOVE D <br />D INSTALL D REPAIR <br />PROPOSED USE D SFR 0 COMM D <br />TYPE OF CONSTRUCTION D BLOCK 0 FRAME D <br /> <br />DESCRIPTION OF WORK I ~L- roD f- 2::- .>'z ~ 2- 5- Yeetv (5Dv~~(q/~ <br /> <br />BUILDING SIZE I I SQ FOOTAGE 12- SZ"Q r HEIGHT I t./ <br />rl'fllllllll"'I"'IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII'"1111111111111111111111111111111111111111111111111"111".'1"1""1"""1111111111111111111 <br /> <br />JOB ADDRESS <br /> <br />LOT # <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />DEMOLISH <br /> <br />OTHER <br />STEEL <br /> <br />I <br />D <br />GfH=- <br /> <br />OTHER I <br /> <br />D <br /> <br />BUILDING <br /> <br />ELECTRICAL <br /> <br />1$ <br />1$ <br />1$ <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />'-/ L/ r;-O, 0 0 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D <br /> <br />D <br /> <br />D MECHANICAL ~ <br /> <br />D GAS ~ROOFING <br />FINISHED FLOOR ELEVATIONS <br /> <br />PLUMBING <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />OTHER <br />DYES <br /> <br />DNO <br /> <br />BUILDER <br />SIGNATURE <br /> <br />YI N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />ELECTRICIAN <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 />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />YI 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/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />5~~c~p<-P'{';".) {,6,,?f). 5 E ( <br />I Y I N I FEE CURRENT I ~Y / N I <br /> <br />"]30 I 0 ~ ..<)fl. 5 L License # 1(' C C cJ) }f.rl <br />. <br />111111111111111111111111111111111111111I1111111111111111111111111111111111111111111111111111111111111111111111111111I111I11111I111 <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 on site , 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 />1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I111111111111111111111111111111111 <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 <br /> <br />OTHER <br />SIGNATURE <br /> <br />~ <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br />111111111111111 <br />RESIDENTIAL <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Fences (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />