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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 R&'\:eived <br /> <br /> <br />I <br />I <br />I <br />~~~~~~PL~:'Dcie_(XjD~~~~i <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />D SIGN D MOVE D <br /> <br />D <br />D <br /> <br />~ <br />Owner's Address 1'\6,-'r~\:- ",,,\On :jb0L \)' <br /> <br />Fee Simple Titleholder NamJ <br /> <br />Owner's Name <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Fee Simple Titleholder Address I <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />~ ~. NEW CONSTR <br />Q/" INSTALL <br />D SFR <br />OCK <br /> <br /> <br />~ADD/ALT <br />D REPAIR <br />D COMM <br />E <br /> <br />DEMOLISH <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />,~ \ <br />BUILDING SIZE I I SQ FOOT~GE I \ \Q I HEIGHT I I <br />Q/' '~~'I~~I'~~"""" 'I~~ ~';".'~ \" ',"'" '~~'~~~~I~~' ~~ .~~~~~. ~.~~.~~~~~~;~~.,."...,......................".."..... <br /> <br />~ECTRICAL 1$ l I AMP SERVICE 0 PROGRESS ENERGY ~9\L ~ <br /> <br /> <br />1$ I <br />1$ I <br />D GAS D ROOFING D <br />FINISHED FLOOR ELEVATIONS I I <br /> <br />DESCRIPTION OF WORK <br /> <br />D <br />D <br /> <br />MECHANICAL <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />PLUMBING <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />OTHER <br /> <br />DYES <br /> <br />DNO <br /> <br />Address <br /> <br /> <br />COMPANY <br />REGISTERED <br /> <br />~~:~~~ ~~~~\~~:~~I <br />'~0~ License # I~~~-y\~~ I <br />"'G''''"'D I~;:~f-\~~ I YI" I <br /> <br />License # I \ ~ \ I <br />, <br />I <br />I <br />I <br />I <br />I <br /> <br />BUILDER <br />SIGNA TURE <br /> <br />ELEC <br />SIGNA TURE <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />YI N <br /> <br />FEE CURRENT <br /> <br />Y/N <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 />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y I N <br /> <br />FEE CURRENT <br /> <br />~J <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y I N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />'1111"111"'1111111111'1'11111"'111111111'1111'1'1111"111111111'1111111111111111111111111111"1111'1111"'1111111"111111111111111'1'11111'1111 <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 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 /> <br />License # <br /> <br />I I I I I I J I I I I I I I I r I I I I ~ I I I I I ~ I I I I I I ~ . I I , I I I I I I I J I I . I I I I J I . I I I I I I I I I I I I . ., I I I I I I I I I . I I I I I I I I I ~ I I I I I I I I I I I I I I I , I I I I I I I I I I I I I I I I I I I I I , I I I I I I I I I I I I I I I I I j <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 />OVER THE COUNTER PERMITTING (Front of Application Only) <br />Reroofs Sewers Service Upgrades NC Driveways Fences (Plol/Survey/Footage) <br /> <br />~ <br />