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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 />\\'\ <br />Owner's Address I--\,u;)'--\S ~ ~.{~~\c::o~\ <br />Fee Simple Titleholder NamJ <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Owner's Name <br /> <br />JOB ADDRESS <br /> <br />Fee Simple Titleholder Address I <br /> <br /> <br />~~~~~Rc::I~~~~\~\~;:~~:~ <br /> <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br /> <br />Q-". . NEW CONSTR ~ ADD/AL T SIGN MOVE D <br />Q---. INSTALL D REPAIR <br /> <br />D SFR D COMM <br /> <br />CK <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />DEMOLISH <br /> <br />DESCRIPTION OF WORK <br /> <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />BUILDING SIZE I I <br />I1I1IIIIIIII111111111111111111111111111111111111I11111111111111111111111111111111111.1111111..11111111111111I1I11IIIIIII11111111111111111111111111 <br /> <br /> <br />I~~~Q'--\.'-\~ I <br />1$ I <br />1$ I <br />1$ I <br /> <br />D GAS D ROOFING D <br /> <br />FINISHED FLOOR ELEVATIONS I I <br /> <br />HEIGHT <br /> <br />w-- <br /> <br />BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />~ <br /> <br />ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY D . W.R.E.~ <br />~~{ ~~~~ <br /> <br />D <br /> <br />PLUMBING <br /> <br />D <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 />Address <br /> <br /> <br />BUILDER <br />SIGNATURE <br /> <br />PLUMBER <br />SIGNA TURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />~ License # l\..b~-'Y~ I ~ I <br />1~~~S~.;LI(-TjN I <br /> <br />License # I \~ \ I <br /> <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />ELECT <br />SIGNATURE <br /> <br />Address <br /> <br />YI N <br /> <br />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 />YI N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />1111111111111111111111111111111111111111111'111111'1111111111'1"11111111'1111'1"1"'1111111111111111111111"'1""1111111111111111111111111'1111 <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 all NEW construction. <br />1111111111111111'.IIJ.I..IIII~~~II~~"II.IIII~..I,.111III.....,'.IIIIIIIII~IIIIIIIIIIIIIIIIIJIIIIIIIIIIIIII.11111111...lllllllllllllllllllllllllil <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. (AfC 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 (PloVSurvey/Footage) <br />