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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 />ro ve...v 5'(V\.'~ <br /> <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Date Received <br /> <br />Owner's Address 4 c; I L. I 6 H-.. .J j- <br />Fee Simple Titleholder Namel <br /> <br />Fee Simple Titleholder Address <br /> <br />SUBDIVISION <br /> <br /> <br />BUILDING SIZE I I SQ FOOTAGE I /0 0 0 HEIGHT I <br />1111"'1111111'11'111'111111111111'11111"'111"111'1111111111'1"1111111'111'11'1"111111'11111'1111'111111"11111111"11111'111"111111111"1111 <br /> <br />B <br />D <br />D <br />I <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />B <br />D <br />D <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br />FRAME <br /> <br />r<-/ <br />D <br />D <br />D <br /> <br />r- LOT # <br /> <br />L & z. ( () 0 I 0 ~ 06</00 - (JO ~ V <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D DEMOLISH <br /> <br />JOB ADDRESS <br /> <br />WORK PROPOSED <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />OTHER I <br />STEEL D <br /> <br />OTHER I <br /> <br />DESCRIPTION OF WORK <br /> <br />o <br /> <br />D <br /> <br />D <br /> <br />o MECHANICAL r- <br /> <br />D GAS ~ROOFING <br />FINISHED FLOOR ELEVATIONS <br /> <br />BUILDING 1$ J & 00, P () <br />ELECTRICAL 1$ <br />PLUMBING 1$ <br /> <br />I <br />I <br />I <br />I <br />D <br />I <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />I <br /> <br />1I1111111111111I111111111111111111111111111111111111111111I111111111111I11111I11I1111111111111111111111111I111111111111111111111111111111111111111 <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />OTHER <br /> <br />DYES <br /> <br />DNO <br /> <br />COMPANY <br />REGISTERED <br /> <br />BUILDER <br />SIGNATURE <br /> <br />YI 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 License # <br /> <br />MECHANICAL I COMPANY <br />SIGNATURE . REGISTERED Y I N FEE CURRENT Y I N <br /> <br />Address I License # <br /> <br />OTHER ~t1 COMPANY J{~ ff~/Cc.(,.J~ ~ ..... J?i/)f/~ dA C <br />SIGNATURE .~ 1);S REGISTERED I Y I N I FEE CURRENT I N I <br /> <br />Address \33 C:;l t>l S' rL <; L. License # I tee on 7 r7 <br />111II1111111111111111111111111111111I111111111111111111111111111111111111111I11111111111111111111I1111111111I111I1111111I11111111111111111111I1111 <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 onsite, 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 />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 Attorney (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 AlC Fences (PloUSurvey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />