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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 />C \;-1, ~ Y"'\ <br />9 -I- t-. f4- <br /> <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number r <br /> <br />Owner Phone Number L <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Namel <br /> <br />Fee Simple Titleholder Address I <br /> <br />~5/~ <br /> <br />1+Vt <br /> <br />~ <br /> <br />~ <br /> <br />LOT # <br /> <br />JOB ADDRESS <br /> <br />WORK PROPOSED <br /> <br />B <br />D <br />D <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />I <br />B <br />D <br />D <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br />FRAME <br /> <br />PARCELlD# I II <br /> <br />D <br /> <br />D <br />D <br /> <br />Zb 2/ 0010 10)00 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />QobO <br /> <br />SUBDIVISION <br /> <br />DEMOLISH <br /> <br />DESCRIPTION OF WORK <br /> <br /> <br />OTHER I <br />STEEL D <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />OTHER I <br /> <br />BUILDING SIZE <br /> <br />HEIGHT I <br /> <br />BUILDING <br /> <br />D <br /> <br />D <br />D <br /> <br />~ :::HANICAL ~ ~FING <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />BUILDER <br />SIGNATURE <br /> <br />1- C( 19 r Uv I <br />I <br />I <br />I <br />D <br />I I <br /> <br />11111I111111I111I1I11111111111111111I11111111111111I11111111111111111111I1111111111111111111111111111111111111111111111111I111111I1I11111111111111 <br /> <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />ELECTRICAL <br /> <br />1$ <br />1$ <br />1$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRES~__ W.R.E.C <br /> <br /> <br /> <br />VALUATION OF MECHANICAL INSTALLATION ~ 0 OL/0 <br /> <br />""- <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br /> <br /> <br />PLUMBING <br /> <br />OTHER <br />DYES <br /> <br />CJNO <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y I N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />ELECTRICIAN I <br />SIGNATURE . <br /> <br />Address I <br /> <br />PLUMBER I <br />SIGNATURE <br /> <br />I <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />YI N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br /> <br />MECHANICAL I <br />SIGNATURE . <br /> <br />Address I <br /> <br /> <br />OTHER I 9 IA.J-./);; - <br />SIGNA1lJRE.~~ _ <br /> <br />Address 1.330) 0 Si2- SL License # Ie {! ( oS-19..r7 <br /> <br />1111111111111I1111111111I111111111111 I 11111111111111111111111111111111111111 I11111111111I111111111111I I11111I111111111111111111111111I11I111111111 <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 />Attach (3) sets of Building Plans; (1) set of Energy Forms. <br />Minimum ten (10) working days after submittal date. Required onsile, 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 />111I11111111111I11111111111111111111111111I11111111111111111111111111111111111III1111I11111111111111111111111I11111111111I1111111I1111111111111111 <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. CAlC 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 A1C <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />COMPANY <br />REGISTERED <br /> <br />License # I <br /> <br />L S"( -if 8(~ckVl..;.' ~d{t:"~:7 r <br />I Y I N FEE CURRENT I Y I N <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Fences (PloUSurvey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />