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<br /> <br />Fee Simple Titleholder Address 1 <br /> <br />*3 fl/7o (. <br />I ('au..l~ <br />E3 <br /> <br />PROPOSED USE D <br />TYPE OF CONSTRUCTION D <br /> <br />I :T.....,$ i rq./( <br /> <br />813-780-0020 <br /> <br />Date Received <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Name I <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />':S;;o ,(. a.. <br />o4ks 5/;(..,'i'lt <br /> <br /> <br />LOT # <br /> <br />/D <br /> <br />PARCELID# .s S-:ZS- -;2. \- OD(O -'-11 S-Oc>' 01...0 <br />(OBTAINED FROM PROPERlY TAX NOnCE) <br />SIGN D MOVE D <br /> <br />SFR <br /> <br />E3 <br />D <br />D <br /> <br />~l> fljV\.f 5L I<.J .. '- ~ <br /> <br />SQ FOOTAGE I <br /> <br />D <br /> <br />D OTHER 15"0 Ii"" 5eLu. c <- <br />D STEEL D OTHER c= <br /> <br />~oR.. ~A:/~-/L.. <br /> <br />HEIGHT I <br /> <br />NEWCONSTR <br />INSTALL <br /> <br />ADD/ALT <br />REPAIR <br /> <br />DEMOLISH <br /> <br />COMM <br /> <br />BLOCK <br /> <br />FRAME <br /> <br />D <br /> <br />BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br />rn---PROGRESS ENERGY <br /> <br />W.REC. <br /> <br />1$ <br />1$ <br />1$ <br />1$ <br />D <br /> <br />FINISHED FLOOR ELEVATIONS 1 <br /> <br />~. ELECTRICAL <br /> <br />D PLUMBING <br />D MECHANICAL <br />D GAS <br /> <br />I <br />I <br />I <br />I <br />D <br />I <br /> <br />DNO <br /> <br />D <br /> <br />..5Z>l>. -- <br /> <br />AMP SERVICE <br />rO AJIt/ <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />ROOFING <br /> <br />OTHER <br />DYES <br /> <br />BUILDER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />FEE CURRENT <br /> <br />Ui.!:!....J <br /> <br />Y/ N <br /> <br /> <br />-7/~ <br /> <br />License # I <br /> <br /> <br />;~~:~~ I f-{~ ~/'(- F~~~P< .~ <br /> <br />License # I E R 00 I f"J.. '4 \( <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />l..Y..L..!LJ FEE CURRENT Ui.!:!....J <br /> license # <br />l..Y..L..!LJ FEE CURRENT Ui.!:!....J <br /> License # <br />l..Y..L..!LJ FEE CURRENT Ui.!:!....J <br /> License # <br /> <br />Address <br /> <br />MECHANICAL I <br />SIGNATURE . <br /> <br />Address I <br /> <br />OTHER I <br />SIGNATURE <br /> <br />Address I <br /> <br />COMPANY <br />REGISTERED <br /> <br />COMPANY <br />REGISTERED <br /> <br />RESIDENTIAL <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />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 /> <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 Attomey (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 />