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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 Receiv:3d <br />1 <br /> <br /> <br />"'\-\\) <br />~~,\)(. <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Owner's Name <br /> <br />JOB ADDRESS <br /> <br />I <br />, <br /> <br /> <br />Fee Simple Titleholder Address I I <br /> <br />f\~~ ~~{&~~ I LOU I~i <br />\j(0~\\~ : PARCELID#13,-\~~\~\(2)-O~D~~ <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />D SIGN D MOVE D <br /> <br />D 1'C\(x--n, 0.~~ <br />D OTHER I <br /> <br />Ow"", Add"" I~\_'(") '\ <br />Fee Simple Titleholder Nam <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />~ ...-NEW CONSTR <br />C]/' INSTALL <br />D SFR <br />D BL <br /> <br /> <br />~DD/ALT <br />t=j REPAIR <br />o COMM <br />ME <br /> <br />DEMOLISH <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />, <br /> <br />SQ FOOTAGE B~ <br /> <br />I I <br />I" , 0~~~:~~ ' , , "'" I;' \~' ~~.~' '~~' i' ,.. '~~~~~~I~~' ~~ ~~~~~' ~~~~~~~~:~~ ,."" ". ,., , , , , , ' , , , , , , , , , ' , , '" ",."", <br />~ECTRICAL 1$ 'I AMP SERVICE 0 PROGRESS ENERGY 0 WR.E.C, \ <br />'. ~"Q.. ~~"'X0_\ , <br />1$ I <br />1$ I <br />D GAS D ROOFING 0 <br />FINISHED FLOOR ELEVATIONS I I <br /> <br />D <br />D <br /> <br />MECHANICAL <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />PLUMBING <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />OTHER <br /> <br />DYES <br /> <br />[:JNO <br /> <br /> <br />o <br /> <br />'4~~~T~~~\\:t( <br /> <br /> <br />License # I <br /> <br />I ~,'\? I~\CQ_~~ <br />'I VI N I '- FEE CURRENT I Y / N <br />License # I \ ~'l <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />YI N FEE CURRENT <br /> License # <br />YIN FEE CURRENT <br /> License # <br />Y I N FEE CURRENT <br /> License # <br /> <br />YIN <br /> <br />Address <br /> <br />MECHANICAL I <br />SIGNATURE , <br /> <br />Address I <br /> <br />OTHER I <br />SIGNATURE <br /> <br />Address I <br /> <br />COMPANY <br />REGISTERED <br /> <br />YIN <br /> <br />COMPANY <br />REGISTERED <br /> <br />YIN <br /> <br />RESIDENTIAL <br /> <br />1'11111"11"1111'11 '11'111'11'11"1111111'11111111111111'11"11111111'111'1"11"1"'11111111"11'1111'11'11'111"11'111""11'11'11'11'111"1111 <br /> <br />COMMERCIAL <br /> <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 /> <br />SIGN PERMIT <br /> <br />11111,.1,1,,11,11.,11.11,11,11111.11,1111.1111,1,11.11.1,.,1.,11.1,.11..,.11,111111111111111111111,1,,1111111111111111.11,11,,1,.1,'11111111,1,11. <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. (A1C 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 NC Driveways Fences (PloUSurvey/Footage) <br />