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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 0 ~ <br /> <br />/Owner's Name C- '- u.d e.. E ~ L I '5 4 <br />/ Owner's Address Is ..;z.31 /1 f l, Sf-t<-.e e.t- <br />Fee Simple Titleholder Namel <br /> <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />/ JOB ADDRESS <br /> <br />Fee Simple Titleholder Address I <br /> <br />15;43 q <br />I <br /> <br />WORK PROPOSED <br /> <br />B <br />D <br />D <br />I RDof <br /> <br />/If" sl-~e-e-r <br />I <br /> <br />B <br />o <br />o <br />I< e.-p n I 't- - P/J A. Ii 'n L 12 e - f?-OO fl- <br />, <br /> <br />I SQ FOOTAGE I I <br /> <br />~ <br /> <br />LOT # <br /> <br />SUBDIVISION <br /> <br />PARCEL 10#1 <br /> <br />ADD/AL T <br />REPAIR <br />COMM <br />FRAME <br /> <br />l \ - ~LQ - 8 \ - 00\0 -1,0,00 - 00"l0 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />DEMOLISH <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />D <br />D <br />D <br /> <br />OTHER I <br />STEEL D <br /> <br />(d-OtJ Sd:,) <br /> <br />HEIGHT I <br /> <br />OTHER I <br /> <br />/ DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />111111111111"11111111111111111"11111111111'1111111111'11""1111111111"111111111111111111111"1"111111'1"'11111111111111".'111111111...11'11 <br /> <br />/D BUILDING <br />D ELECTRICAL <br />D PLUMBING <br />D MECHANICAL <br /> <br />1$ c:2()O I <br />1$ I <br />1$ I <br />1$ I <br /> <br />D GAS D ROOFING 0 SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />I1111I11111111111111111I11111111111111I111111111111I111111111111111111111111111111111111111111111111111111111111I111111111I1111111II11111111111111 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E,C, <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />BUILDER <br />/ SIGNATURE <br /> <br />I e;~ C# <br />I <br /> <br />COMPANY <br />REGISTERED <br /> <br />JJo./Y7 et)w.AJek..~ <br />"I Y I N I FEE CURRENT <br /> <br />License # I <br /> <br />Y/N <br /> <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />Address <br /> <br />ELECTRICIAN I <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> License # <br />Y I N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address License # <br /> <br />111111111111I1111I11111111111111111111111111I11111111111I1I11111111I1111111111111111111I11111I111111I111I11111111I111111111111111111I1111111111111 <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 />1I111111111111111111111111111111111111111111111111111111111I11111111111111111111111111111111111I111I1111111111111111111111111111111111111111111111 <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 Ale Fences (PloUSurvey/Footage) <br /> <br />Driveways-Not over Counter if on public roadwaysnneeds ROW <br />