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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 />~o " <br />KRvfGff\ <br />17.J. h ) ..... <br /> <br /> <br />-iCtiloq <br /> <br />Owner's Name <br /> <br />I (/ ? I <br />Owner's Address _ ,~ <br /> <br />Fee Simple Titleholder Name I <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Fee Simple Titleholder Address <br /> <br />JOB ADDRESS <br /> <br />I~' <br />, - "'\ <br /> <br />I <br /> <br />-; r <br /> <br />J 7..:.,... <br /> <br />LOT # <br /> <br />B <br /> <br />PROPOSED USE D <br />TYPE OF CONSTRUCTION D <br /> <br />DESCRIPTION OF WORK I TV)/ P. L L <br /> <br />I fa ''; /6 . I SQFOOTAGE I <br /> <br />NEW CONSTR <br />INSTALL <br /> <br />SFR <br />BLOCK <br /> <br />I <br />B <br />D <br />D <br />C)HFO <br /> <br />SUBDIVISION <br /> <br />PARCELID#I /I.) h'dl OOI.C)-~Cjd O(i'C);;'OO <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />D <br />D <br />D <br /> <br />DEMOLISH <br /> <br />WORK PROPOSED <br /> <br />ADD/ALT <br />REPAiR <br /> <br />COMM <br />FRAME <br /> <br />OTHER I <br />STEEL D <br /> <br />OTHER L- <br /> <br />BUILDING SIZE <br /> <br />I 60 <br /> <br />HEIGHT I <br /> <br />o <br /> <br />BUILDING <br /> <br />1$ ) ~OO. QO <br />i <br />D ELECTRICAL 1$ <br /> <br />D PLUMBING 1$ <br /> <br />D MECHANICAL 1$ <br /> <br />D GAS D <br />FINISHED FLOOR ELEVATIONS I <br /> <br />ROOFING <br /> <br />I <br />I <br />I <br />I <br />D <br />I <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.REC_ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />SPECIAL 1Y D OTHER <br />FLOOD ZONE AREA DYES <br /> <br />(!;/~( bM- . <br />Jl:t'd t.--1-4+- ilIJ'-t..+f~9 . <br />It ~,~)tfzv^"r-)flil~f_ <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />DNO <br /> <br />Ji) BUILDER <br />Cf SIGNATURE <br /> <br />1:;J-<;"d, <br /> <br /> <br />1'5ffO <br />YI N <br /> <br />C ( I i. f-/-rJ-m e ctv "e t<. <br />FEE C RENT ~ <br /> <br />License # I <br /> <br />Address <br /> <br />ELECTRICIAN I <br />SIGNATURE <br /> <br />Address I <br /> <br />PLUMBER I <br />SIGNATURE <br /> <br />I <br /> <br />COMPANY <br />REGISTERED <br /> <br />~ <br /> <br />FEE CURRENT <br /> <br />~ <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED YIN FEE CURRENT ~ <br /> License # <br />COMPANY <br />REGISTERED YI N FEE CURRENT ~ <br /> License # <br />COMPANY <br />REGISTERED ~ FEE CURRENT ~ <br /> License # <br /> <br />Address <br /> <br /> <br />MECHANICAL I <br />SIGNATURE . <br /> <br />Address I <br /> <br /> <br />OTHER I <br />SIGNATURE <br /> <br />Address I <br /> <br />RESIDENTIAL <br /> <br />Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fonns <br />Minimum tan (10) working days aftar submittal date. Required onsite. Construction Plans, Sanitary Facilities & 1 dumpster <br />Altacl1 (3) sets of Building Plans; (1) set of Energy Fonns. <br />Minimum tan (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster <br />AU commercial requirements must meet compliance. <br />Attach (2) sets of Engineered Plans. <br />-PROPER1Y 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 Powe- of AlloI'Cey (for the owner) would be someone with notarized leller from owner authorizing same <br /> <br />OVER THE COUNTER PERMlmNG (Front of Application Only) <br />Reroofs Sewers Service Upgrades AlC Fences (PlollSurveylFootagel <br /> <br />Driveways-Not over Counter if on public roadways._neads ROW <br />