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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 />ro. Qy/ZOY) <br />Owner's Address 17015 Greer 1 51tft- <br /> <br /> <br />Fee Simple Titleholder Namel <br /> <br />Owner's Name <br /> <br />Dr' i {' e... <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 /> <br />7e.- , J '-12- LOT# 1253 <br /> <br />PARCELlD#1 J~-Z.5' ~1~OI1o'ODOOD'" 2-530 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />@ <br /> <br />PROPOSED USE D <br />TYPE OF CONSTRUCTION D <br /> <br />DESCRIPTION OF WORK I in) t ex \ \ <br /> <br />~/xS V; I <br />1IIIIIIt"'IIIIIIIII'IIII"'11111"11111111,IIIIIIIIII"'1111"'11111"'1'11111111111111111111111111111'111111'1'11111"11111'111111111111111111" <br />D BUILDING 1$ 2fiOOo, 00 I <br /> <br />D ELECTRICAL 1$ 1t500.0b I <br /> <br />D PLUMBING 1$ 250,60 I <br /> <br />D MECHANICAL 1$ J 750. 00 I <br /> <br />D GAS D ROOFING D SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I 1 FLOOD ZONE AREA DYES DNO <br /> <br />11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I111111111111111I1111111111111111 <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />B <br />D <br />D <br />M<blLLJy\ IKSL <br /> <br />SQ FOOTAGE I <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br />FRAME <br /> <br />D <br />D <br />D <br /> <br />DEMOLISH <br /> <br />OTHER I <br />STEEL D <br /> <br />OTHER I <br /> <br />BUILDING SIZE <br /> <br />HEIGHT I <br /> <br />AMP SERVICE <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />D <br /> <br />W.R.E.C, <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />MECHANICAL COMPANY 1A;~frN 16Y/N <br />SIGNATURE REGISTERED FEE CURRENT <br />Address License # <br />OTHER COMPANY <br />SIGNATURE REGISTERED Y/N FEE CURRENT Y/N <br /> <br />BUILDER ~~ <br />SIGNATURE <br />Address 2.!'8D ..f-f, ~n' <br /> <br />~~~:~~~~~ ~ <br /> <br /> <br />Address _ ~ <br /> <br /> <br />;~:A~~E ~y~ I <br /> <br />Address __ <br /> <br />COMPANY <br />REGISTERED <br /> <br />COMPANY <br />REGISTERED <br /> <br />COMPANY <br />REGISTERED <br /> <br /> <br />l1?~tt( j f'eL~aJ~,~1S I <br /> <br /> <br />License # I <br /> <br />((:1/ N <br /> <br />tat; N I <br /> <br />FEE CURRENT <br /> <br />I '~/N <br /> <br />L)cense # I <br /> <br />let~~ttt 1'JF~CU~!~j 5 <br /> <br /> <br />License # I <br /> <br />,1y/N <br /> <br />Address License # <br /> <br />1111111111111111I111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I11I11111111111111111111111111111111 <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 on site, 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 />II111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I11111111111111111111111111111111111 <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 NC Fences (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />