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<br />-~,5~J~ \ Q>.~~3-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br />Date Received <br /> <br /> <br />Owner Phone Number h. \ ~ -1 , ~ <br />Owner Phone Number I <br /> <br />Owner's Name <br /> <br />JOB ADDRESS <br /> <br />I <br />I <br /> <br />Fee Simple Titleholder Address I I <br />( <br />1.?J1lc,( 't ((,-u ~ ~~.JL ~...... I LOT # I ;L9 I <br />PARCELlO# 1.3'1 . :l~'..)../ - oj 00 - ca'1O V -"Dol',e I <br /> <br />(OBTAINED FROM PROPERTY TAX NOnCE) <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Name I <br /> <br />~(~ I <br /> <br />D NEW CONSTR n ADD/AL T D <br />D INSTALL D REPAIR <br />PROPOSED USE D SFR 0 COMM ~. OTHER <br />TYPE OF CONSTRUCTION D BLOCK D FRAME D STEEL <br /> <br />- DESCRiXN?j;ORK I ~Oo \ S~. {..A....i \ ~~~ <br /> <br />~~~~NG SI~ I <t ~ t.{ .50~+ SQ FOOTAGE I <6"- <..{ / t/(d HEIGHT I '2' <br />I <br /> <br />VALUATION OF TOTAL CONSTRUCTION "GOOD <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />MOVE D <br /> <br />DEMOLISH <br /> <br />SIGN <br /> <br />o <br /> <br />.~\ &.c.'Cll.~ <br />o OTHER L- <br /> <br />D <br /> <br />BUILDING <br /> <br />1$ <br /> <br />D ELECTRICAL 1$ <br /> <br />D PLUMBING 1$ <br /> <br />D MECHANICAL 1$ <br /> <br />D GAS D <br />FINISHED FLOOR ELEVATIONS I <br /> <br />ROOFING <br /> <br />I <br />I <br />I <br />I <br />D <br />I <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />*(3un+ ~ <br /> <br />dO.dO <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />OTHER <br /> <br />DYES <br /> <br />DNO <br /> <br />BUILDER COMPANY I <br />SIGNATURE REGISTERED L.:0...!:!....J FEE CURRENT ~ <br />Address License # I <br />ELECTRICIAN I COMPANY I <br />SIGNATURE REGISTEREO Y/N FEE CURRENT U:~ <br />Address I License # I <br />PLUMBER I COMPANY I <br />SIGNATURE REGISTEREO L.:0...!:!....J FEE CURRENT ~ <br />Address I License # I <br />MECHANICAL I <br />SiGNATURE L.:0...!:!....J FEE CURRENT ~ <br /> I <br />OTHER ~ <br />SIGNATURE I *'q., :.-=> <br /> License # L.ec..O ':;' ~ b S" C, <br /> U. <br /> <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 />Ail 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 />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 Attomey (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 />