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<br />813-780-0020 <br /> <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Date Received <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Name <br /> <br />Fee Simple Titleholder Address <br /> <br />I 31~O I <br />I <br /> <br />f'/;/{ L wP ~ LOT # I I <br />I PARCELlD#1 ()3 -dfo- d )- (XJIO-/())(X)- COlD! <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />g NEWCONSTR ~ ADD/ALT 0 SIGN 0 MOVE 0 <br />INSTALL ~ REPAIR <br />PROPOSED USE SFR 0 COMM 0 OTHER <br />TYPE OF CONSTRUCTION 0 BLOCK 0 FRAME 0 STEEL 0 <br /> <br />DESCRIPTION OF WORK I I d- 'i-c74 6fJ~ & ce-D ()~. ircP~ 71 <br /> <br />BUILDING SIZE ( ;;;;- 'f' ;;L -t I sa FOOTAGE I :;:2 <g 9( I "EIGIfT I j 0 I ~:,t j <br /> <br />1$ tj,~ Lf(J' - ~ I <br /> <br />D ELECTRICAL 1$ I <br /> <br />D PLUMBING 1$ I <br /> <br />D MECHANICAL 1$ I <br /> <br />D GAS 0 ROOFING 0 <br />FINISHED FLOOR ELEVATIONS I I <br /> <br />Cf/I1f[ L- <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />DEMOLISH <br /> <br />WORK PROPOSED <br /> <br />OTHER I <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />PROGRESS ENERGY <br /> <br />nO~~lJ; <br />~ a~::> <br />S~",cO <br />U l &.<...D <br />D W.R.E.C. <br /> <br />BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />'. <br />l' <br /> <br />".Joe... <br /> <br />, ,. <br />~ <br />\ "I':.: \ <br /> <br />VALUATION OF MECHANICAL INSTALLATION 'c::-' .. <br />I ~pjji..C\ <br /> <br />~ 71i~/c,"- <br />DYES JA;:lNO fi).. <br /> <br />SPECIALTY 0 <br />FLOOD ZONE AREA <br /> <br />OTHER <br /> <br /> <br /> I~ -+ {'-7:J (':[9 I <br /> YI N l' FEE CURRENT Y/N <br /> License # I I <br />@ COMPANY I <br /> REGISTERED Y I N FEE CURRENT Y/N <br />Address License # I I <br />lI) I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURRENT Y/N <br />~ Address I <br /> License # <br />J1 I <br /> MECHANICAL <br /> SIGNATURE Y I N FEE CURRENT Y/N <br />'-.fI I I <br />-:J. License # <br />(' - I'?~ I <br />==cs OTHER Sc~ (()I N <br />;Z SIGNATURE I (-.pI N I FEE CURRENT <br />Z~)I\\S License # I I <br /> <br /> <br /> <br /> <br />RESIDENTIAL Atta (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 />1111I111111111111111111111111111111111111111111I111111II11I1111111111111111111111111111111111111111II11111111111I111111111111111111I1111I111I11111 <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 AlC Fences (PloUSurvey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />