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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit ApplicatiOn <br />Building Department <br /> <br />raX-ln.:s-(1:lU-UU:':'1 <br /> <br />Date -Received <br /> <br /> <br /> <br />PASCO PERMIT SERVICE <br />.5 <br /> <br />w <br />~. <br />r9. <br />D <br />D <br /> <br />u"mvrL <br />r <br />Same tl6 aheV--L <br />5cune as. ~VL <br />.3- er;d + ne <br />I Emerald ft>/nk <br />~ <br /> <br />PROPOSED USE D <br />TYPE OF CONSTRUCTION D <br /> <br />DESCRIPTION OF WORK I Lanaj <br /> <br />I <br /> <br />1111111111111111111111"'1'1111111111111111'1111111111'111""'111111111111111111'1'111111""1111111111111111'111111111111'1111111111111'1111'1" <br /> <br />1$ ~qtJtJ~~ <br />1$ <br />1$ <br />1$ <br />D <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Namel <br /> <br />e.-- <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Owner's Name <br /> <br />Fee Simple Titleholder Address <br /> <br />JOB ADDRESS <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />I <br />B <br />D <br />~ <br /> <br />D <br />D <br />D <br /> <br />I <br />D <br /> <br />OTHER I <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />ADD/AL T <br />REPAIR <br />COMM <br />FRAME <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />DEMOLISH <br /> <br />OTHER <br />STEEL <br /> <br />BUILDING SIZE <br /> <br />HEIGHT I <br /> <br />SQ FOOTAGE I <br /> <br />GAS <br /> <br />ROOFING <br /> <br />I <br />I <br />I <br />I <br />D <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />~ W.R.E.C, <br /> <br />BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />ELECTRICAL <br /> <br />PLUMBING <br /> <br />MECHANICAL <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />~~LJ ./ <br /> <br />Address <br /> <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />DYES <br /> <br />DNO <br /> <br />BUILDER <br />SIGNATURE <br /> <br />l~fJer <br />Y / N I FEE CURRENT <br /> <br />I <br /> <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br /> <br />LQ<<~ FEE CURRENT <br /> <br />License # [ <br /> <br />Y/N <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />tq{~~~ <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />I tk, ',IT Jj~ <br />; Y / N i FEE CURRENT <br />License # I <br /> <br />Y/N <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />Address <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address License # r <br /> <br />1111111111111II1I111II111111111111111II111111111111111I111111111111111111111111I11111111111111111I111111I11111111111111111111111111111111111111111 <br />RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms <br />Minimum ten (10) working days after submittal date. Required onsile, Construction Plans, Sanitary Facilities & 1 dumpster <br />COMMERCIAL 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 />SIGN PERMIT Attach (2) sets of Engineered Plans. <br />....PROPERTY SURVEY required for all NEW construction. <br />111I111111111111111111111111111111111111111111111111111111111111111111111 " 1111111111111111111111111111111111111111111111 " 11I11111111111111111111 <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 PERMITTING (Front of Application Only) <br />Reroofs Sewers Service Upgrades AlC Fences (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />