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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 />Fee Simple Titleholder Name <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 Name <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Address <br /> <br />JOB ADDRESS I 5'33 S <br /> <br />I <br /> <br />~-tn <br /> <br />S\ <br /> <br />I <br /> <br />LOT # <br /> <br />SUBDIVISION <br /> <br />I <br /> <br />D NEWCONSTR c=J ADD/ALT D <br />D INSTALL D REPAIR <br />PROPOSED USE D SFR D COMM D OTHER I <br />TYPE OF CONSTRUCTION D BLOCK D FRAME D STEEL 0 <br /> <br />DESCRIPTION OF WORK I -;::;:tc;f;.// G-c:.-/lL/J>/ 0/1 c,:..f7 I/e./I ( '1 .J.. l5") ~\~b <br /> <br />BUILDING SIZE I I sa FOOTAGE I I HEIGHT I <br />111'111111111111'11111'11111111"111111111'111'111111111'1,,111'111'..'1"111'111111'111111'-1,'1111111,,11111111111,I't,III..IIIIIII'III,IIII'111 <br /> <br />PARCEL ID# I <br /> <br />l \ _ 2(".2-1 - 00\0- ,..~~OO. 00' 0 <br />(08T AINED FROM PROPERTY TAX NOTICE) <br />SIGN 0 MOVE D <br /> <br />DEMOLISH <br /> <br />WORK PROPOSED <br /> <br />OTHER I <br /> <br />D BUILDING 1$ I <br /> <br /> <br />D ELECTRICAL 1$ bOJ:;cJD. I <br /> <br />/ <br />D PLUMBING 1$ I <br /> <br /> <br />D MECHANICAL 1$ I <br /> <br /> <br />D GAS D ROOFING D SPECIALTY D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />1I11111111111111111111111111111111111111111111111111111111111111111111I1111111111111111111111111111111111111111111111111111111I1111I11111111111111 <br /> <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICEl'OtJ <br /> <br />D <br /> <br />Nee.. - W~& <br /> <br />'1 (Zg I~ 'Ve \'" ShCU'\A.- pAd d.~o.J::~.:,- <br />VALUATION OF MECHANICAL INSTALLATION l)...LL.Ul b<. a ~ ~ <br />c ,^",),-y-CLa.:h.r'\ . <br /> <br />~ <br /> <br />PROGRESS ENERGY <br /> <br />W.R.E.C. <br /> <br />COMPANY <br />REGISTERED <br /> <br />BUILDER <br />SIGNATURE <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />~~'/7 ~~;~{t/~~f . <br /> <br />License # IliL.lJ ooIJ'?"] <br /> <br />Address <br /> <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />Address <br /> <br />MECHANICAL I <br />SIGNATURE <br /> <br />Address I <br /> <br />~~H:A"ruRE I ~ ~ ~~~';.":;:, N FEE C,", !" $f. 'N <br />11111~1~~~~~:IIIII~I~I~~~II~~III~I~II~IIIIII.lI~~~t~~11~:~~~~~~IIII~I~~I~II~I~I~IIIIIII <br /> <br />RESIDENTIAL Attach (2) Plol 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 />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 />11II1111111111111111111111111111111111111111111111111111II1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <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 NC <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Fences (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />