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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 />Owner's Name Ve {'Y"l Hu <!:.r t- <br />Owner's Address I (p0 I q fo X fV/ 00 (( D~ <br />Fee Simple Titleholder Namel <br /> <br /> <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Date Received <br /> <br />JOB ADDRESS <br /> <br />Fee Simple Titleholder Address I <br /> <br />I (NIB <br />ISllver <br /> <br />SUBDIVISION <br /> <br />;::oXMoof D~. I LOT # I <br />GAlLS ~_ LJ PARCELlD#1 (732~/) /0/ ;)..0000000570 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />D NEW CONSTR E3 ADD/ALT 0 SIGN D MOVE 0 <br />D INSTALL REPAIR <br />PROPOSED USE J8J. SFR D COMM 0 OTHER I <br />TYPE OF CONSTRUCTION 0 BLOCK D FRAME 0 STEEL D <br /> <br />DESCRIPTION OF WORK7ea r o-f2[: ..L ,c. ~ ('00 f' ret; lei. en c.. c: w ( .../-1, <br /> <br />BUILDING SIZE I I SQ FOOTAGE I 3 \.f cxJ HEIGHT <br />111111""11111'111111'1111'11'1111'1111111"'111"111'1111'111111'1111'11111'111111'111111"111111111111'11'1"111111'1111111'111111111111111111' <br /> <br />DEMOLISH <br /> <br />WORK PROPOSED <br /> <br />OTHER I <br /> <br /> <br />D BUILDING 1$ I <br /> <br />D ELECTRICAL 1$ I <br /> <br />D PLUMBING 1$ I <br /> <br />D MECHANICAL 1$ I <br /> <br />D GAS jZ( ROOFING D SPECIALTY 0 OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES CJNO <br /> <br />111111111111111111111111111111111111111I111111111111111111I11111111111I1111I11I1111I1111I111111111111111I1I1111I1111111111111111II1I111111I1111111 <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />705"0 <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 />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 />COMPANY <br />REGISTERED <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />Y I N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />MECHANICAL <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 />COMPANY <br />REGISTERED <br /> <br /> <br />Address <br /> <br />W~?~ <br /> <br />37~ Slzl+e P-OQ <br /> <br />License # <br /> <br />OTHER <br />SIGNATURE <br /> <br />,/Is <br /> <br />r:L - 33 -y 2. <br /> <br />License # <br /> <br />1(~~OV1570 - 25V31 <br /> <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 onsite, 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 />111I1111111111111111111111111111111111111111111111111111I11111111111111111111111111111111111111I11111111111111111111111111111111111111111111111111 <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 Ale Fences (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />