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<br />813,780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Oepartment <br /> <br />Fax-813,780-0021 <br /> <br /> <br />Date Received <br /> <br />Owner's Name <br /> <br />BUILDING SIZE <br /> <br />I <br />I <br />I <br />:3 '8'5~ (TIe 11 ZJ -h r. co", I (~ I <br />1 PARCELlD#I[):i-d/"J\-DO:QD-{)[) ~)w-Zf2D <br />(OBTAINED FROM PROPERTY TAX NOTICE) @ <br />ADD/AL T D SIGN 0 MOVE D DEMOLISH 'l- ~ <br />REPAIR <br />COMM D OTHER I I <br />FRAME D STEEL 0 OTHER t:dL.U'Y'.1 ()L'/YI I <br /> <br />~'_n(l JC(5LlIlL' <br /> <br />I HEIGHT I <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Fee Simple Titleholder Address <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />PROPOSED USE <br /> <br />B <br />D <br />D <br /> <br />NEW CONSTR <br />INSTALL <br /> <br />SFR <br /> <br />BLOCK <br /> <br />DESCRIPTION OF WORK <br /> <br />~ <br />D <br />D <br />I Cj'JYf\ f clp ,"jC' C~ f! J, <br />SO FOOTAGE I / <,:;. n <br /> <br />WORK PROPOSED <br /> <br />TYPE OF CONSTRUCTION <br /> <br />D <br /> <br />I a~;C. -id <br />1$ '7 1-/ 'I (), LICJ <br />1$ I <br />1$ I <br />1$ I <br />D GAS D ROOFING D <br />FINISHED FLOOR ELEVATIONS I I <br /> <br />BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />~ <br /> <br />D <br />D <br />D <br /> <br />ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />CJ <br /> <br />W.R.E,C, <br /> <br />PLUMBING <br /> <br />j <br />Not- <br /> <br />MECHANICAL <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />OTHER <br />DYES <br /> <br />ONO <br /> <br />Address <br /> <br /> <br />!i _ <br />/0')- <br /> <br />~~ <br />-.,,) <br /> <br />BUILDER <br />SIGNATURE <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br /> License # <br />COMPANY <br />REGISTERED YI N FEE CURRENT Y/N <br /> License # <br />COMPANY <br />REGISTERED ~ FEE CURRENT ~J <br /> License # <br />COMPANY <br />REGISTERED ~ FEE CURRENT ~ <br /> License # <br />COMPANY <br />REGISTERED ~ FEE CURRENT ~J <br /> License # <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />Address <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />Address <br /> <br />OTHER <br />SIGNATURE <br /> <br />Address <br /> <br />RESIDENTIAL <br /> <br />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 /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Directions: <br />Fill out application completely. <br />Dwner & 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 PERMITIlNG (Front of Application Only) <br />Reroofs SewersServi co Upgrades AlC Fences (PloVSurvey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />