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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 />,_.,.....,.. , <br />...,-J /\ <... <br />() ,7 i { <br />C."..Vl \, o? l- ' , \'( <br /> <br /> <br />,+'1..', " <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br />2.':; '70 I <br />Owner Phone Number <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Name <br /> <br />WORK PROPOSED <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />LOT # <br /> <br />PARCELID#I Od - dl.o -d-. \ - b 0\ (::;. 05<oou -00101 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />DEMOLISH <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br /> <br />B <br />D <br />D <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br />FRAME <br /> <br /> <br />OTHER <br />STEEL <br /> <br />I <br />I~ <br /> <br />c:. c;- <br /> <br />BUILDING SIZE SQ FOOTAGE I <br />TIT'III'III'IIII"II"'II')II"'I"II."I"'I'I.,...III''.1"1111111'1111111111'11111111'11111111111"111"1111'1'11111""11'11"'111"111'1'1111 <br /> <br />D BUILDING 1$ I <br /> <br />D ELECTRICAL 1$ I <br /> <br />D PLUMBING 1$ I <br /> <br />o MECHANICAL "I$,:;f~-( ~(/- ~.[) VALUATION OF MECHANICAL INSTALLATION <br /> <br />D GAS D ROOFING D SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />11111111111111111111111111111111111111111111111111111111111I11111111111111111111111111111111111111111111111111111111111111111111II1I11111111111111 <br />I <br />I <br />I <br />I <br />I <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />o <br /> <br />W.R.E.C, <br /> <br />COMPANY <br />REGISTERED <br /> <br />BUILDER <br />SIGNATURE <br /> <br />Y I 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 <br /> <br />.~"/' "," <br />'" ...,." '.._-~./'_..' . <br />i: \~,..' . '_.- <4': [../' \-~ <br />.." " "" , ." <br />: ':-""'/' . ," -" , <br /> <br />,.'....'iY r ([)",nJ )U <br /> <br />(O~V <br /> <br />I COMPANY <br />REGISTERED <br /> <br />CJ(J f'-<^.J-- f:~-:! <br />I COMPANY I <br />REGISTERED <br /> <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />Address <br /> <br />License # <br /> <br />OTHER <br />SIGNATURE <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address License # <br /> <br />IIII1I11I11I1I11111111111111111111111111111111111111111111111111111111111111111111111111111111111I11111111111IIIIIIIIIIIIIIIIIIIIIIIilllllllllllll <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 onslte. 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 />1IIIII11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <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 (PloUSurvey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />