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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 />Phone Contact for Permlttln <br /> <br />Owner Phone Number W- <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br /> <br />, <br />D'ate Received <br /> <br /> <br />2-7 o' <br />\ . \ <br />Own,,', Add,... h.~r '\ "',~ QQr\~\~ DC <br />Fee Simple Titleholder Nam <br /> <br />Owner's Name <br /> <br />SUBDIVISION <br /> <br />Fee Simple Titleholder Address I <br /> <br />[::Sl'--~L\\ \.(tiC" -~- ~ I LOT# I\~ <br />l's ~C'(=.c-\ \--\:-.,( \ ~ I PARCELlONI :3)\ ~~J\ ~~1t>"}- ~\~ <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />JOB ADDRESS <br /> <br />WORK PROPOSED <br /> <br />~ f',jEWCONSTR ~ ADD/ALT D <br />~NSTALL D REPAIR <br />PROPOSED USE D SFR 0 COMM D OTHER ~\0\\\r-\'\~ '\ <br />TYPE OF CONSTRUCTION ~~ ~ME ~D OTHER I <br /> <br />DESCRIPTION OF WORK ~<SJ_ _ .f ,"{\ \& 'l\~~~ --=-- ~:} N (.J:::i-\- <br /> <br />BUILDING SIZE I I sa FOOT~GE I k-:v~ I HEIGHT I <br /> <br />IIII1II1I1I11I111111111111111111111111111111111111111111111111111.1111.1111111111.1111111....111111111111111III1III1IIIII1111111111111111111111111 <br /> <br />I$\\~?J~~ <br />1$ <br />1$ <br />1$ <br />D <br /> <br />DEMOLISH <br /> <br />c=g-- BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />~ECTRICAL <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY D W~_:.S: <br />.~,( \L~~ <br /> <br />D <br /> <br />PLUMBING <br /> <br />D <br /> <br />MECHANICAL <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />CJ <br /> <br />GAS <br /> <br />ROOFING <br /> <br />o <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />OTHER <br /> <br />Address <br /> <br /> <br />DYES <br /> <br />[:JNO <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />BUILQEB: <br />SIGNATURE <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />. ~W~ License # k0) ~\\~~I <br />I~} ~FE~~E~ ~N I <br /> <br />License # I \~ I I <br /> <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />Y / N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />ElEC <br />SIGNATURE <br /> <br />Address <br /> <br />Address <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />Y / N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />OTHER <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 />1111" "11111111111111'111"11111111111111"1111'1'1111111111111'111111111111111'11111111111111"11111111111111111""11111111'1'1"'11111111'1111 <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 onslte, 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 />"1,,111,, ,1,11111111111111111111.1111111111.1",1,111.1111111111111".."",1,1111111,,11111111111111111111111111111,.1..,11111111111,11111111111 <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 SeNice Upgrades AlC Driveways Fences (Plot/Survey/Footage) <br />