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<br />'313-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br />Date Received <br /> <br /> <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Owner's Name 71:> ~ <br /> <br />Owner's Address Ij 1ll ., ,aL .$ <1'>Lt t r <br />Fee Simple Titleholder Namel <br /> <br />Fee Simple Titleholder Address <br /> <br />JOB ADDRESS <br /> <br />Sf 'l., <br /> <br />C. Id.. Sr4...1 \. r <br /> <br />LOT # <br /> <br />PARCEL 10#1 <br /> <br />WORK PROPOSED <br /> <br />(il <br />D <br />D BLOCK <br />I ~-vS~ <br />I <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br /> <br />I <br />B <br />D <br />D <br /> <br />D <br />D <br />D <br /> <br />OTHER I <br />STEEL D <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />ADD/AL T <br />REPAIR <br />COMM <br />FRAME <br /> <br />\\-a<c-d.\ _00\0- O\\c.:o~ 0\\0 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />DEMOLISH <br /> <br />SUBDIVISION <br /> <br />OTHER I <br /> <br />BUILDING SIZE <br /> <br />F-c.." t-. I'\-1IMJ f rw a..,...,<. .s ~ s (~&o.,. <br /> <br />SQ FOOTAGE I / '- 60 HEIGHT I <br /> <br />DESCRIPTION OF WORK <br /> <br />I}...Fr <br /> <br />11111111111111'111'1"'..'1111'1111111'11"'11111111111111'11111111111111"'111"'11111111111111111111""'1"111111111"'11'11'111111111111111111 <br /> <br />o <br /> <br />1$ I <br />1$ (.{ L 'I :3 - I <br />o PLUMBING 1$ I <br />o MECHANICAL 1$ I <br /> <br />o GAS D ROOFING D SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />1IIIIIIIIIIIIIIIIIIIIIilllllllllllllllllllllllllllllll11I1111I1111I11111111111II111111111111111111111111111II1111111111111111111111I11111111111111 <br /> <br />BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />OQ <br /> <br />ELECTRICAL <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 />Y/N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> License # <br />Y / N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> <br />Y/N <br /> <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />BUILDER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br />ELECTRICIAN I S <br />SIGNATURE Oil,) II"4cA.. <br /> <br />Address 1'3 3 S'b u c..,.." lA ,'\I.J "-", <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />~~,;. ,~ <br /> <br />sr. "'~Il. ~ <br /> <br />I <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />License # <br /> <br />1111'lllllllllllllllllllllllllllllllllllilllllllllllll1IIIIillllllllllllllllllllllllllllllllllllllllllllllll11111I1111111111111111 <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 />11.111111111111111111111111111111111111111111111111111111111111I111111111111111I11111111111111111111I1111111111111I11111111111111111111111111111111 <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 A/C <br /> <br />Address <br />111111111111111 <br />RESIDENTIAL <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Fences (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />