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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 Received <br /> <br /> <br />lliw r/ Sij V ;0 <br />~LL LScU-LJ <br /> <br /> <br />Owner's Name C (2.0 w;J <br /> <br />Owner's Address 1535 5' <br /> <br />Fee Simple Titleholder Namel <br /> <br />Owner Phone Number <br /> <br />Owner Phone Humber I <br /> <br />Owner Phone Number I <br /> <br />Fee Simple Titleholder Address <br /> <br />JOB ADDRESS <br /> <br /> <br />I <br /> <br />LOT # <br /> <br />I <br /> <br />o NEW CONSTR c=J ADD/ALT D <br />D INSTALL D REPAIR <br />PROPOSED USE D SFR 0 COMM D OTHER I <br />TYPE OF CONSTRUCTION D BLOCK 0 FRAME D STEEL 0 OTHER I <br /> <br />DESCRIPTION OF WORK Ie' c /-/ ...4 ~ /'-' L /" /v ~ P &',,-./ C e;- .r <47"'e- <br /> <br /> <br />~~:~~'~7, ~~'" ,I",."""" """"".!."" ~~ ,~?~:~?,~!, ~!6!:. t:.:.",!"" ~~:7~, ,I"~""""""",,, I,."""""""""", <br /> <br />1$ '7 l? 0 . 0 (.Y I <br /> <br />D ELECTRICAL 1$ I <br /> <br />D PLUMBING 1$ I <br /> <br />D MECHANICAL 1$ I <br /> <br />D GAS D ROOFING 0 SPECIALTY D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111II1I11111111111111 <br /> <br />BUILDER ~ I I / COMPANY <br />SIGNATURE ~ ~.-./f 0 REGISTERED <br /> <br />Address, I License # I <br /> <br />ELECTRICIAN I COMPANY I <br />SIGNATURE . REGISTERED Y / N FEE CURRENT Y / N <br /> <br />Address I License # I <br /> <br />PLUMBER I COMPANY I <br />SIGNATURE . REGISTERED Y / N FEE CURRENT Y / N <br /> <br />Address I License # I <br /> <br />MECHANICAL I COMPANY I <br />SIGNATURE . REGISTERED Y / N FEE CURRENT Y / N <br /> <br />Address I License # I <br /> <br />OTHER I COMPANY I <br />SIGNATURE . REGISTERED Y / N FEE CURRENT Y / N <br /> <br />Address I License # I I <br />1I11III11III11I111II1111II111I111111111111II111111111111111111111111111I11I111111I1111111111I1111I111111111111111111111111111111111111I11111111111 <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 />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 />I111111111111111111111I11111111111111111111111111111111I1111111111111111111111111111111111111111111111111111111111111111111111111I11111I1111111111 <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 Ale <br /> <br />SUBDIVISION <br /> <br />/1 2? Z I tPolo latJoD 0 O~O <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN 0 MOVE D <br /> <br />DEMOLISH <br /> <br />WORK PROPOSED <br /> <br />~ <br /> <br />BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />PROGRESS ENERGY <br /> <br />o <br /> <br />W.R.E.C, <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br /> <br /> <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Fences (PloUSurvey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />