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<br />813-780.0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-7BO-0021 <br /> <br />C0~ ()..J..s.xn <br /> <br />Date Received <br /> <br /> <br />^~~ <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />I <br />I <br />I <br />I JJn I <br /> <br />Owner's Neme <br /> <br />Owner's Address 1375~3 jO\enD.... <br /> <br /> <br />Fee Simple TItleholder Name I <br /> <br />JOB ADDRESS <br /> <br />Fee Simple TItleholder Address I <br /> <br />I ~7S"3 S lDf"e.r(1 Atf-. LOH <br />~ra,.~~\'ZOI\..~ I PARCELIO#I34-JS-~\- OO~0-("/)(yy)- UQQ.! <br /> <br />(OBTAINEO FROM PROPE TV TAX NOnCE) <br /> <br />D bo6 AD DIAL T SIGN D MOVE 0 DEMOLISH <br />o L::::J'" REPAIR <br /> <br />PROPOSED USE 0 CJ COMM <br /> <br />TYPE OF CONSTRUCTION 0 l521. <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />PLUMBING <br /> <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />o <br /> <br />I <br />I <br />I <br />I <br />CJ <br />I <br />BUILDER !~:e.:~i;C; ~~ . bCOMPANY I ~A}IAO\inlA~~rl CoD 00 <br />SIGNATURE ~ REGISTERED Y I N EE CURRENT Y IN' <br /> <br />Address -. . ""\> ~ (';~ "&~b3 License # l(lllfl rY')\.tftc 7 I <br /> <br /> <br />ELECTRICIAN I I COMPANY I I <br />SIGNATURE REGISTERED ~ FEE CURRENT ~ <br /> <br />~~I ~# I <br /> <br /> <br />PLUMBER I COMPANY I <br />SIGNATURE . REGISTERED ~ FEE CURRENT ~ <br /> <br />~~I ~# I <br /> <br />MECHANICAL I COMPANY I <br />SIGNATURE REGISTERED ~ FEE CURRENT ~ <br /> <br />~~I ~# I <br /> <br />OTHER I COMPANY I <br />SIGNATURE . REGISTERED ~ FEE CURRENT ~ <br /> <br />~~I ~# I <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />BUILDING <br /> <br />o <br /> <br />o <br /> <br />o <br /> <br />o GAS <br />FINISHED FLOOR ELEVATIONS I <br /> <br />ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />CJ <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />WR.E,C. <br /> <br />MECHANICAL <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />ROOFING <br /> <br />SPECIALTY 0 <br />FLOOD ZONE AREA <br /> <br />OTHER <br /> <br />DYES <br /> <br />DNO <br /> <br />RESIDENTIAL <br /> <br />SIGN PERMIT <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 Plens; (1) set of Energy Forms, <br />Minimum ten (10) working days after submittai 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 />COMMERCIAL <br /> <br />Directions: <br />Fill out application completely, <br />Owner & Contractor sign back of application, notarazed <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 with notarized letter from owner authorizing same <br /> <br />OVER THE COUNTER PERMlmNG (Front of Application Only) <br />Reroofs SewersServi ce Upgrades AlC Fences (PloVSurveyIFootage) <br /> <br />Driveways-Not over Counter if on public roadwaysHneeds ROW <br />