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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 />31 - ''l-rS PA\J 0 <br />7f'3-b7~\. <br />I <br />I <br />I <br />8/Ld. I LOU I I <br />I PARCELlDtI OZ. 2"- 21'" OOID-00900-a?J~ <br />D ADD/ALT ~2;~:TAll::;"~EMOL1SH 0 t,D $ \ 6:1' <br />D REPAIR ,~ IJ) <br />PROPOSED USE D COMM D OTHER I I <br />TYPE OF CONSTRUCTlON D BLOCK D FRAME D STEEL D OTHER c= I <br /> <br />DESCRIPTION OF WORK II N Sl1r u.... IY\ D f\J V tvLEN"\ '9.l6 N I <br /> <br />I sa FOOTAGE I ~ S I HEIGHT lJJ ~ 0 ' I <br /> <br />1$ 27-75;00 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 <br />FINISHED FLOOR ELEVATIONS I I <br /> <br />DlIt. Received <br /> <br /> <br />Own.r Phone Number g l3 <br />Own.r Phon. Number I <br />Own.r Phon. Number I <br /> <br />Own....N.me MQV\\At,.1 Rose <br />Own.... Add..... I ~ q 00 c;, cd l B\"~. <br /> <br />Fee Slmpl. TltI.holclar Nama I <br /> <br />JOB ADDRESS <br /> <br />Fee Simple Tltleholclar Add.... I <br /> <br />1lt>'100 €Jq 1/ <br />I <br /> <br />SUBDIVISION <br /> <br /> <br />WORK PROPOSED <br /> <br />BUILDING SIZE <br /> <br />D <br /> <br />BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />WREC <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />OTHER <br /> <br />DYES <br /> <br />DNO <br /> <br />Add..... <br /> <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />~(~ ::~~Tcot~I\~G7.5~ <br />License # ~A\\ g\ 2- I <br />~fIi't/~~"'~ I ~ "c. <br />License # lEe /3 Of) ~ 9 7 tP I ~ -' <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />Y/ N <br /> <br />FEE CURRENT <br /> <br />~ <br /> <br />BUlL-CEil <br />SIGNATURE <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />Add..... <br /> <br />Add..... <br /> <br />MECHANICAL I <br />SIGNATURE <br /> <br />Add..... I <br /> <br />~~N~~RE I <br /> <br /> <br />Add..... I <br /> <br />License # <br /> <br />COMPANV <br />REGISTERED <br /> <br />V/ N <br /> <br />FEE CURRENT <br /> <br />~ <br /> <br />License # <br /> <br />COMPANV <br />REGISTERED <br /> <br />V/ N <br /> <br />FEE CURRENT <br /> <br />~ <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 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, Sanrtary Facilrties & 1 dumpster <br />All commercial requirements must meet compliance. <br />Attach (2) sets of Engineerad 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, . Notlc. of Commencement I. 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 PERMITTlNG (Front of Application Only) <br />Reroofs Sewers Service Upgrades NC Fences (Plot/Survey/Footage) <br /> <br />Drlv.way.-Not over Counter If on public roadways..needs ROW <br />