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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 />Owner's Name <- e n n ti r Owner Phone Number <br />Owner's Address Ibat) IV ~~5hW'f I3IV~~nerPhoneNumber I <br /> <br />Fee Simple Titleholder Name I I Owner Phone Number I <br /> <br />JOB ADDRESS <br /> <br /> <br />LOT # <br /> <br />SUBDIVISION <br /> <br />BUILOING SIZE <br /> <br />(OBTAINED FROM PROPERTY TAX NOnCE) <br /> <br />B NEW CONSTR D ADD/AL T 0 SIGN ~ MOVE 0 <br />INSTALL D REPAIR <br /> <br />'If:lS1iJ. rdfiii ,... ~ .<0 . <br />o SFR 0 COMM 0 OTHER II q. t;; n-r-. h ~e IV' r '" <br />o BLOCK 0 FRAME 0 STEEL 0 OTHER I I <br /> <br />I-:w,S\a.ll... ~d~k- Ei-n I <br /> <br />I SQ FOOTAGE I HEIGHT I <br /> <br />VALUATION OF TOTAL CONSTRUCTION ~, 1..- () 0 ,0(,) <br /> <br />o <br /> <br />DEMOLISH <br /> <br />WORK PROPOSED <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />DESCRIPTION OF WORK <br /> <br />o BUILDING 1$ <br /> <br />D ELECTRICAL 1$ <br />o PLUMBING 1$ <br />D MECHANICAL 1$ <br /> <br />D GAS 0 <br />FINISHED FLOOR ELEVATIONS I <br /> <br />ROOFING <br /> <br />I <br />I <br />I <br />I <br />o <br />I <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />PROGRESS ENERGY <br /> <br />w.R.E.C. <br /> <br />SPECIALTY 0 <br />FLOOD ZONE AREA <br /> <br />OTHER <br /> <br />DYES <br /> <br />NOc.... <br />C.Lrn+V- ~-l~ <br />&6.OU Re <br /> <br />VAlUATION OF MECHANICAl INSTALLATION <br /> <br />DNO <br /> <br />BUILDER <br />SIGNATURE <br /> <br />COMPANY I <br />REGISTERED ~ FEE CURRENT I Y/N I <br /> License # I <br />COMPANY I <br />REGISTERED ~ FEE CURRENT I Y/N I <br /> License # I <br />COMPANY I <br />REGISTERED ~ FEE CURRENT l Y IN I <br /> License # i <br />COMPANY <br />REGISTERED ~ FEE CURRENT ~ <br /> License # I W <br /> ~Si~ 5-.':) <br /> N FEE CURRENT Y I N 1121 <br /> License # c: ot <br /> <br /> <br />Address <br /> <br />ELECTRICIAN I <br />SIGNATURE . <br /> <br />Address I <br /> <br />PLUMBER I <br />SIGNATURE <br /> <br />I <br /> <br />Address <br /> <br />MECHANICAL I <br />SIGNATURE <br /> <br />Address <br /> <br /> <br />Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fonns <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 Fonns. <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 /> <br />OTHER <br />SIGNATURE <br /> <br />Address <br /> <br />RESIOENTIAL <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Oirections: <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 AJC Fences (PloUSuNey/Footage) <br /> <br />Driveways-Not over Counter if on public roadwaysnneeds ROW <br />