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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 <br /> <br /> <br />/ Owner's Address <br /> <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 />./ OWner's Name <br /> <br />./ JOB ADDRESS <br /> <br />Fee Simple Titleholder Address I <br /> <br />I sq J l} ~AI) BIrd <br />I <br /> <br />SUBDIVISION <br /> <br />'I OU"':) ~ Mn l-l--h h:n,cL LOT # <br /> <br />PARCELID#I \ \ -'2~ /2.1-60\0.. 60200- O-o\D <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />I <br /> <br />D NEWCONSTR c=J ADD/ALT D <br />1)U INSTALL ~ REPAIR <br />PROPOSED USE D SFR D COMM D OTHER <br />TYPE OF CONSTRUCTION D BLOCK D FRAME D STEEL D OTHER I <br /> <br />/DESCRIPTIONOFWORK I ft51AI) f7~) )VP~S(O~ SLj54em l~ f\Y1eA€h J/ood <br /> <br />BUILDING SIZE I SQ FOOTAGE I I HEIGHT I I <br />1111111111111"11111"'1111111"111111""'1'111111'11II1I 't'IIIIIII"rll'IIIIIIIIIIIIIIIIIIIII'IIIIIIIIIIIIII'I1111111"'111111111111"111111111 <br /> <br />WORK PROPOSED <br /> <br />DEMOLISH <br /> <br />/0 <br /> <br />BUILDING <br /> <br />\ co C5D ,(50 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C, <br /> <br />1. . <br />C CrvYh . ~ -Ole .G"D <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />BUILDER <br />/ SIGNATURE <br /> <br />COMPANY J <br />REGISTERED <br /> <br />Y/ N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />ELECTRICIAN <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 />PLUMBER <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 />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />~,~':i."TURE \;y~ 1~!i:t;"?1e;,N I <br /> <br /> <br />Address ()~?< Q L Fe.,. 5lJ6~ License # I (()IS({)S~OO~ <br /> <br />1111111I1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I1 ~ 11111 j";~~; II; ;;11 f II; II ,III <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 onslte, 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 />11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <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 />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 <br /> <br /> <br />License # <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Fences (PloUSurvey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />