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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 />OWner's Name <br /> <br /> <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number i <br /> <br />Owner Phone Number i <br /> <br />Date Received <br /> <br />Fee Simple Titleholder Address <br /> <br />l <br />r <br /> <br />JOB ADDRESS <br /> <br />[ <br /> <br />31132 7f!.l'lvc <br /> <br />J <br /> <br />LOT # <br /> <br />WORK PROPOSED <br /> <br />8 <br /> <br />PROPOSED USE I --I <br />TYPE OF CONSTRUCTION 0 <br /> <br />DESCRIPTION OF WORK I GrNEXk ~ bi::---c.)? <br /> <br />:~:.:,~:~~.". ,I,.."."."..",.,..".)"., ,~~ ~~~~~?~!",.."..",.,.""".1,." ~,~,?~~, ,I,..""",.,.",."" ,I,."",.""."""". , <br />o BUILDING 1$ I VALUATION OF TOTAL CONSTRUCTION <br /> <br />~ ELECTRICAL 1$ lOco<!=. I A~~~ERVICE 0 PROGRESS ENERGY <br /> <br /> <br />o PLUMBING 1$ I <br /> <br />o MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION <br /> <br /> <br />o GAS 0 ROOFING 0 SPECIALTY 0 OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />111111111111111111111111111111111111111111111111111111111111111:1111111111111111111111111111111111111111111111111111111111111111111111111111111111 <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />1 <br />E:3 <br />o <br />o <br /> <br />PARCEL ID#ll ~ -.:;llv -d \ - bOd-A - {JO<"\OO- 00\ () <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE 0 <br /> <br />ADD/All <br />REPAIR <br />COMM <br />FRAME <br /> <br />o <br />o <br />o <br /> <br />DEMOLISH <br /> <br />SUBDIVISION <br /> <br />OTHER I <br />STEEL D <br /> <br />OTHER I <br /> <br />~ <br />I <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />1 <br /> <br />COMPANY <br />REGISTERED <br /> <br />BUILDER <br />SIGNATURE <br /> <br />Y/ N FEE CURRENT Y/N <br /> License # <br /> Eh.+~t~ <br /> FEE CURRENT <br /> License # I ~5"!> <br />Y/N FEE CURRENT Y/N <br /> <br />Address 1 <br />ELECTRICIAN cry} f ^,e 9 <br />SIGNATURE . ' ~ <br />Address I 5Lfcf.~ F-e...;,,.u!-tfYL A <br /> <br />PLUMBER I <br />SIGNATURE <br />I <br /> <br />COMPANY <br />REGISTERED <br /> <br /> <br /> <br />2-d, / f s <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br /> <br />MECHANICAL I <br />SIGNATURE . <br /> <br />Address I <br /> <br />OTHER I <br />SIGNATURE <br /> <br />Address I License # <br /> <br />1111111111111II11I1I111111111111111111111111111111111111111111111111,11111111111111111111111111111111111111111I11111111111111111111111111111111111 <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 />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 />11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I11 <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 <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Y / N <br /> <br />FEE CURRENT <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Fences (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />