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<br />813-780-0020 <br /> <br />City of Zephyrhills Pennit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br />Data Received <br /> <br /> <br />Own.,.. Name <br /> <br />Own.,.. Addreas <br /> <br />Fee Simple TItlehoider Name I <br /> <br />JOB ADDRESS <br /> <br />Fee Simple TItlehoider Address I <br /> <br />I-T331 ~l' 6\vc\. Zt:f>Vlj\\r\\\\S.)F"L <br /> <br />I I PARCELIDII~+-Z5-Zl-cx:co- cC:;;30<:./- OOa:f <br />(OBTAINED FROM PROPERTY TAX NOnCEI <br /> <br />~ <br />D <br />D <br />r(.wDrKfXISiln \/-Jet \ e.flres <br /> <br />SQ FOOTAGE Il<q c.::, + <br /> <br />LOT II <br /> <br />SUBDIVISiON <br /> <br />WORK PROPOSED <br /> <br />E3 <br />D <br />D <br /> <br />NEW CONSTR <br />INSTALL <br /> <br />SFR <br />BLOCK <br /> <br />ADD/AL T <br />REPAIR <br /> <br />SIGN <br /> <br />o <br /> <br />MOVE D <br /> <br />DEMOLISH <br /> <br />OntER <br />STEEL <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />COMM <br />FRAME <br /> <br /> <br />OntER I <br /> <br />DESCRIPTION OF WORK <br /> <br />ok YvI -\-v C\CCOI"V1\1Yl <br /> <br />VIe-V\! -k/vItA,Vl+- <br />--f\czK-bi (e~\ r\Vlj <br />f'\?\VI$. <br /> <br />BUILDING SiZE <br /> <br />D BUilDING 1$ I <br />D ELECTRICAL 1$ I <br />D PLUMBING 1$ I <br /> tl~k~~1 i l <br />- spnnKler 1$'2,*~~oo I <br />D GAS D ROOFING D <br />FINISHED flOOR ELEVATIONS I I <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />[:::J <br />r<e~- . <br />~~+or W01_U.d'Wu- <br />'Ifm.. C O-p\(()s Slahnp.eO..;-rna.r.t\5 <br />~ <br /> <br />WRE.C. <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />OntER <br />DYES <br /> <br />DNO <br /> <br />BUiLDER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />L.:!:i...!U <br /> <br />FEE CURRENT <br /> <br />~ <br /> <br />Address <br /> <br />ELECTRICIAN I <br />SIGNATURE . <br /> <br />Addreas I <br /> <br />PLUMBER I <br />SIGNATURE <br /> <br />I <br /> <br />license # <br /> <br />COMPANY <br />REGISTERED <br /> <br />L.:!:i...!U <br /> <br />FEE CURRENT <br /> <br />~ <br /> <br />license # <br /> <br />COMPANY <br />REGISTERED <br /> <br />L.:!:i...!U <br /> <br />FEE CURRENT <br /> <br />~ <br /> <br />Address <br /> <br />MECHANiCAL I <br />SIGNATURE . <br /> <br />Addreas I <br /> <br />license # <br /> <br />COMPANY <br />REGISTERED <br /> <br />L.:!:i...!U <br /> <br />FEE CURRENT <br /> <br />~ <br /> <br />OTHER <br />SIGNATURE <br /> <br />Addreas <br /> <br />RESiDENTIAL <br /> <br />Attach (2) Plot PIE!lls; (2) sets of Building Plans; (1) set of Energy Forms <br />Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanifaly 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, Sanifaly Facilities & 1 dumpster <br />All commercial requirements must mem 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 Attorney (for the owner) would be someone with notarized letter from owner authorizing same <br /> <br />OVER THE COUNTER PERMITnNG (Front of Application Only) <br />Reroofs Sewers Service Upgrades AlC <br /> <br />Fences (PlotlSurveylFootage) <br /> <br />9 fYl e Ic~_\ CO v1Trdictv r <br />pctmJr-tt 5Q05 <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />