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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 />Owner's Name <br /> <br />JOB ADDRESS <br /> <br />Fee Simple Titleholder Address L <br /> <br />ISdLJIo /Di.A <br />I <br /> <br />I <br />I <br />I <br />~fjeeL I LOT # ~ <br />PARCELID#ln-alo-oH-oo\O-IQSDD- OnD I <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />D SIGN 0 MOVE D <br /> <br />D <br />D <br />l)..f <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Name I <br /> <br />I <br /> <br /> <br />D NEW CONSTR D <br />D INSTALL D <br /> <br />PROPOSED USE D SFR D <br /> <br />TYPE OF CONSTRUCTION D BLOCK D <br /> <br />I re?jJl,NJmenL <br /> <br />_ SQ FOOTAGE [ <br /> <br />rJQ BUILDING 1$) J '1 D I CJD I <br /> <br />D ELECTRICAL 1$ I <br /> <br />D PLUMBING 1$ I <br /> <br />D MECHANICAL 1$ I <br /> <br />D GAS D ROOFING D SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES ONO <br /> <br />I I <br />~; '. ~)_ _Ill /'JEt:P t-I fl~{IJ1f{ f <br /> <br />~~~" ~_2:~~ ~= I~ 6~~"=".f ~"FE' <br />Address ~f-- _ . _G~ ~~ License# r~ll.f[{;{l ~i C~ <br /> <br />ELECTRICIAN I COMPANY I I <br />SIGNATURE . REGISTERED ~ FEE CURRENT ~ <br /> <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />AD DIAL T <br />REPAIR <br /> <br />COMM <br /> <br />FRAME <br /> <br />DEMOLISH <br /> <br />I <br />STEEL 0 OTHER I I <br /> <br />~/)/dJ W\f\~u.}S I <br /> <br />HEIGHT I I <br /> <br />OTHER <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />CJ <br /> <br />W.R.E.C <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />Address <br /> <br />License # <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />~ <br /> <br />FEE CURRENT <br /> <br />~ <br /> <br />Address <br /> <br />License # <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />~ <br /> <br />FEE CURRENT <br /> <br />~ <br /> <br />Address <br /> <br />License # <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />~ <br /> <br />FEE CURRENT <br /> <br />~ <br /> <br />Address <br /> <br />License # <br /> <br />RESIDENTIAL <br /> <br />Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms <br />Minimum ten (10) working days after submittal da1e. Required ons~e. Construction Plans, San~ary Facilities & 1 dumpster <br />Attach (3) sets of Building Plans; (1) set of Energy Forms. <br />Minimum ten (10) working days after submittal da1e. Required ons~e, 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 />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <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 Attomey (for the owner) would be someone wrth notarized letter from owner authorizing same <br /> <br />OVER THE COUNTER PERMITTING (Front of Application Only) <br />Reroofs SewersServi ce Upgrades AlC Fences (PloVSurvey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways .needs ROW <br />