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<br />813-780-00:'W <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />:ff ~1{J)P F"~~ <br /> <br />1~ 1. 5 <br />:-{ ~b{ ( - '3f,q c; <br />Owner Phone Number l40 1- b9 ( ~d-t 3~, <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number <br /> <br />Date Received <br /> <br /> <br />DCt" <br />~. ~ Il.euffl...- <br />Owner's Address H6f) So, ()rl~, ~.<;f20\ \ \o\~ ~ <br /> <br />Fee Simple Titleholder Name I tJ \ r::-.. I <br /> <br /> <br />N\~ <br />~\~ 2-~"\. ~~. ~?~ 1 I LOT # I <br />I PARCEL ID# I Vt--;)S -~ \ -(;U;{) - {j tJ=3tJO -mAD <br />(OBTAINE~ROM ROPERTY TAX NOTICE) <br />o NEW CONSTR D ADD/AL T D SIGN MOVE D DEMOLISH <br />D INSTALL D REPAIR ~ <br />PROPOSED USE D SFR 0 COMM ~ OTHER I <br />TYPE OF CONSTRUCTION D BLOCK 0 FRAME D STEEL D <br /> <br />lJ~-rf4-l1. ~\ WA-LL <9\~, ~ \'1"'CC~<;., <br /> <br />I sa FOOTAGE I I <br /> <br />Owner's Name <br /> <br />F.. S;mpl. ml.hold., Add,! ~ <br /> <br />JOB ADDRESS ~ ~ ~ <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />OTHER I <br /> <br />DESCRIPTION OF WORK <br /> <br /> <br /> <br />BUILDING SIZE <br /> <br />HEIGHT <br /> <br />~ ~ 1$ <br />BUILDING <br />0 ELECTRICAL 1$ <br />0 PLUMBING 1$ <br />0 MECHANICAL 1$ <br />0 GAS D <br />FINISHED FLOO <br /> <br />ROOFING <br /> <br />I <br />I <br />I <br />I <br />o <br />I <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />WR.E,C, <br /> <br />\Q, \ ~ ' <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />Address <br /> <br /> <br />SPECIALTY D OTHER <br />FLOOD ZONE AREA DYES <br /> <br />N Ol~../' ~ <br />, 'It{OA\. J ~ -1 <br />~~ ~ ~~4S <br />J:iJ)tO. 01> ~ <br />DNO \yO.ffU <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />BUILDER <br />SIGNATURE <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />Address <br /> <br /> License # <br />Y/ N FEE CURRENT <br /> License # <br />Y/ N FEE CURRENT <br /> License # <br />Y / N FEE CURRENT <br /> License # <br /> <br />Y/N <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br />MECHANICAL I <br />SIGNATURE . <br /> <br />Address I <br /> <br />OTHER I <br />SIGNATURE <br /> <br />Address I <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />JIIHIIIIIIlIIII- Il!!IIIIIB8I <br /> <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 onsite, 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 /> <br />IlIl llUlIIll II <br /> <br />.aI _ llUH <br /> <br />- <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 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 />