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<br />813-780-0020 <br /> <br />Date Received <br /> <br /> <br />1?-3 \-OCp <br />PIZ-zc...... <br /> <br />Owner's Name <br /> <br />A6C- <br />I <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Namel <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number 1 <br /> <br />Fee Simple Titleholder Address <br /> <br />JOB ADDRESS <br /> <br />5"~{o~ <br /> <br />C::.a 0 0 <br /> <br />EJ <br /> <br />PROPOSED USE D <br /> <br />TYPE OF CONSTRUCTION D <br /> <br /> <br />DESCRIPTION OF WORK I t-+obd ~ <br /> <br /> <br />BUILDING SIZE I I SQ FOOTAGE I HEIGHT I <br />TTrII"".' I1IIII1I1II11I11111111111I 1 1111111111 t, 1"11111111"111111" '1'1111111'" IIIIII1I1III t 1 I '" J I ~ IIIII " 11111'" 11II t, " r, III1IIIIII r IIIII <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />6/ud) <br />I <br />B <br />D <br />D <br /> <br />LOT # <br /> <br />PARCEL ID#I <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />DEMOLISH <br /> <br />D <br />D <br />D <br /> <br />ADD/All <br />REPAIR <br />COMM <br />FRAME <br /> <br />I <br />D <br /> <br />OTHER <br />STEEL <br /> <br />OTHER I <br /> <br />D <br /> <br />BUILDING <br /> <br />D <br />D <br /> <br />ELECTRICAL <br /> <br />PLUMBING <br /> <br />BUILDER <br />SIGNATURE <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />o <br /> <br />W,R,E,C, <br /> <br />PROGRESS ENERGY <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />Y/N <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />License # <br /> <br />Address <br /> <br />ELECTRICIAN I <br />SIGNATURE <br /> <br />Address I <br /> <br />COMPANY <br />REGISTERED <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Y/N <br /> <br />License # <br /> <br />PLUMBER <br />SIGNATURE <br /> <br /> <br />v~ MECHANICAL <br /><1')' SIGNATURE <br /> <br />" <br /> <br />Address <br /> <br />COMPANY <br />REGISTERED <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Y/N <br /> <br /> <br />COMPANY <br />REGISTERED <br /> <br /> <br />License # <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address I License # I <br /> <br />II1111I111I11111111111111111111111111111111111111111111111111111111111111111111111111111111111111I11111111111111I111111II11I11111111111111111I1111 <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 />1111111111111I11111111111111I1111111I1111111111111111111111I111111111111111111111111111111111111111111111111111111111111111111I11111111111I1111111 <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 AlC Fences (PloUSurvey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />