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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 /> <br />Date Received <br /> <br />q+h A-v~ <br /> <br />Owner Phone Number <br /> <br />~5V~ner Phone Number I <br /> <br />I Owner Phone Number I <br /> <br />../ Owner's Name <br /> <br />./ Owner's Address ~0 J 4 a <br />Fee Simple Titleholder Namel <br /> <br />Fee Simple Titleholder Address I <br /> <br />I~~ \ Ltd <br />I <br /> <br />../ JOB ADDRESS <br /> <br />I \'d 'f---'dO I <br /> <br />'.'.'11111111"'..11111111111111111111111"'1111111111111111111111111'I,rlllllllllll,IIIIIIIIIIIIIIIIIIIIIII'IIIIJIIIIII"IIIIIIIIIIIIII"I,r,1111 <br /> <br />1$ \600,00 I <br /> <br />1$ I <br />1$ I <br />1$ I <br /> <br />o GAS D ROOFING D SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I1111111111111111111II1I111111I1111111 <br /> <br />/ :~~~~RE I\.f\ 0 ~ma. I.. 0 . ,*.v \I'arYOll ~ ;:'.::.: <br /> <br /> <br />Address i <br /> <br /> <br />/ ;~;I:~~:N !Thhyv'Q ,~. .,-tf ~ V'Ct ~ ~] ;~:~: <br /> <br />Address <br /> <br /> <br />:~:~~~E I I <br />I <br /> <br />Cifh A 'IlL 'Z~ph~( h \ \ \$ <br />I PARCELlD#1 <br /> <br />B <br />D <br />D <br />I b€ d roO'"'" C\. dd', \-\-\ 0 fj <br />SQ;OOTAGE I <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />B <br />D <br />D <br /> <br />D <br />D <br />D <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />ADD/AL T <br />REPAIR <br />COMM <br />FRAME <br /> <br />./ DESCRIPTION OF WORK <br /> <br />On <br /> <br />;' BUILDING SIZE <br /> <br />/0 <br /> <br />BUILDING <br /> <br />~( <br /> <br />'-:;S ~54-~ <br /> <br />LOT # <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />DEMOLISH <br /> <br />OTHER I <br />STEEL D <br /> <br />rock lef'+s~c::\e <br /> <br />HEIGHT I I <br /> <br />I <br />I <br />of- ~o~ <br /> <br />OTHER I <br /> <br />ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />PROGRESS ENERGY <br /> <br />W.R.E.C. <br /> <br />o <br />o <br />o <br /> <br />D <br /> <br />D <br />,-Joc., - <br />S\.!:(n ~- <br /> <br />~ uJ \ n d U\..J...J <br /> <br />p..-I c...... <br /> <br />PLUMBING <br /> <br />MECHANICAL <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />COMPANY <br />REGISTERED <br /> <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />IL~~,,;'j rn ~~ <br /> <br /> <br />License # I <br /> <br />Y/N <br /> <br />h\~.cn...ur~ <br />Y / N FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />Y / N <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />License # <br /> <br />Y/N <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />License # <br /> <br />Y / N <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Address License # <br /> <br />111111111111111111111111111111111111111111111111111111111111111111111111111111I111111111111111111I11111111111IIIIIIIIIIIIIIIIIIIIIIIilllllllllllll <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 onsile, 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 />111111111111111111111111111111111111111111111111111111111111111111111111111111I1111111111111111111111111111111111111111111111111111111111111111111 <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 />Driveways-Not over Counter if on public roadways..needs ROW <br />