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<br />813-780-0020 <br /> <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br />Date Received <br /> <br />Z 'Iexr+o--('O- <br />Phone Contact for Permittln <br /> <br />Owner's Name <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Name <br /> <br />Fee Simple Titleholder Address <br /> <br />PARCEL ID#I <br /> <br />I LOT# I <br /> <br />II -2l#-Z\ -00\0 -2\(POb-Ol301 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN 0 MOVE D <br /> <br />JOB ADDRESS <br /> <br />DESCRIPTION OF WORK <br /> <br />B <br />D <br />D <br />I <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />I <br />B <br />CJ <br />CJ <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br />FRAME <br /> <br />D <br />D <br />D <br /> <br />DEMOLISH <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />OTHER <br />STEEL <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />I <br />o <br /> <br />OTHER I <br /> <br />BUILDING SIZE I I SQ FOOTAGE I HEIGHT I <br />11111111111111".'.'11111'.'1111111111111'.."""'11'"1111111"'1"'11111111111""'1'111111111111111111"1"'111'1"11111111111111111111""1'1 <br /> <br />0 BUILDING 1$ ;l4lt7 0 VALUATION OF TOTAL CONSTRUCTION <br />0 ELECTRICAL 1$ AMP SERVICE CJ PROGRESS ENERGY D W.R.E.C. <br />0 PLUMBING 1$ <br />0 MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br />0 GAS ROOFING CJ SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATI I FLOOD ZONE AREA DYES DNO <br /> <br /> <br /> <br />BUILDER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N FEE CURRENT <br /> License # <br />YI N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> License # <br />YI N FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />OTHER <br />SIGNATURE <br /> <br /> <br />Y/N <br /> <br />Address License # <br /> <br />11II1111I111111I111111111111I111111I11111111111111I11111111111111111111111111111111111111111111111111111111111111111111111111111II11111111111IIII1 <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 onsile, 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 on site, 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 />111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I111111111111111111111111111111111111111111111I111111111 <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 (Plot/Survey/Footage) <br /> <br /> <br /> <br />I, <br /> <br />Driveways-Not over Counter if on public roadways,.needs ROW <br />