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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 />,t{ ( LL <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 Namel <br /> <br />Fee Simple Titleholder Address I <br />... <br />I -~ -r-~ S 7-- ~ c t:tl 'TT~ <br />l~lJ- ;?~J~~ A J <br /><""-:) i L---. f:. . \ L ,t-b <br />D NEW CONSTR 0 ADD/AL T D <br />[E] INSTALL D REPAIR <br />PROPOSED USE D SFR D COMM D OTHER <br />TYPE OF CONSTRUCTION D BLOCK D FRAME D STEEL 0 OTHER I K <br /> <br />DESCRIPTION OF WORK I \ ,uX"(mLV~--r\ D tJ D ~ I (l tl. I k, A-r l 010 Qy ~~ <br /> <br />BUILDING SIZE I I SQ FOOTAGE I I HEIGHT I I <br />1IIII"rlIII1111111111111'IIIIIIIII,rllllll",III','111111111111111111111111""'111111111111"'1111111'1111,1,r'lllllllllllr'llllrnn'IIIII"'I'11 <br /> <br />tfYl/lA..- <br /> <br />JOB ADDRESS <br /> <br />LOT # <br /> <br />SUBDIVISION <br /> <br />PARCEL 10#1 <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN 0 MOVE D <br /> <br />DEMOLISH <br /> <br />WORK PROPOSED <br /> <br />D BUILDING 1$ I <br />D ELECTRICAL 1$ I AMP SERVICE D PROGRESS ENER~Y <br /> <br />~ :~::::Al :: : VALUATIONOFMECHANICUST~~TION G V <br /> <br />D GAS D ROOFING D SPECIALTY D OTHER ~_____ ______-/- <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />I11111111111111111I1111111111111111111111111111111111111I1111111111111111111111111II111111111I1111111111I1111111111111I11111111I111111111111111111 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />I <br />I <br />I <br /> <br />I <br />PLUMBER I ~ ~ q ~Il '1- ~01.. I {LfL I b ./ <br />SIGNATURE ~ _ FEE CURRENT Y I N I <br /> <br />Address License # () 0 4 6 ~ I <br /> <br />MECHANICAL I COMPANY I <br />SIGNATURE _ REGISTERED Y I N FEE CURRENT Y I N <br /> <br />Address I License # I <br /> <br />OTHER I COMPANY , <br />SIGNATURE . REGISTERED Y I N FEE CURRENT Y I N <br /> <br />Address I I License # I I <br />1111111111111111111111111111111111111111111111111111111I1111I1I111111111111111111111111111111111111111111I11111111111111111111111111I1I11I1I111111 <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 />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 />11.11/11111111111111111111111111111111111111111111111111111111I11I1II1111111111I11111I1111111I111111111111111111I1111111111111111111111111111111111 <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. (A1C 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 />BUILDER <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 />ELECTRICIAN I <br />SIGNATURE _ <br /> <br />Address I <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br /> <br />License # <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Fences (PloVSurvey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />