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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 />Dme Received <br /> <br /> <br />Owner's Add...... <br /> <br />Fee Simple TIUeholder Name I <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />I - <br />.$'17. 7J1~. 1/J/7~ <br /> <br />Owner's Name <br /> <br />7" f1Vf.- <br /> <br />I <br />I <br />I <br />I <br />+~ <br />~ <br /> <br />JOB ADDRESS <br /> <br />ZC,~y"'h;'J~ <br /> <br />I PARCEL lOti 1 //- at. ~ .1.1- O~I b - /2.ctO() - tJOI S <br />(OBTAINED FROM PROPERTY TAX NOnCE) <br />CJ.. NEW CONSTR D ADD/All 0 SIGN 0 MOVE D <br />~ INSTALL D REPAIR <br />PROPOSED USE 0 SFR D COMM D OTHER <br />TYPE OF CONSTRUCTION 0 BLOCK D FRAME 0 STEEL 0 OTHER I I <br /> <br />DESCRIPTION OF WORK PlJSfAL.L..A-1io'.1l o-f- C!oNti2l!~ ~; I=001ti1Jt..J for +tifWL-e. S'4~r/ZoOM <br /> <br />12.' x. 12.1 I SQ FOOTAGE II'ILl a I HElGHrt- I <br /> <br />Fee Simple T1Ueholder Address 1 <br /> <br />13-rfJ3ff <br />I <br /> <br />LOTti <br /> <br />SUBDMSION <br /> <br />WORK PROPOSED <br /> <br />DEMOLISH <br /> <br />BUILDING SIZE <br /> <br />D <br /> <br />BUILDING <br /> <br />ELECTRICAL <br /> <br />IS ~&lOO.c90 <br />IS <br />1$ <br />1$ <br /> <br />rdJ!!}- ROOFING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />BUILDER <br />SIGNATURE <br />Address <br />ELECTRICIAN iliA- <br />SIGNATURE <br />Address <br />PLUMBER Nit- <br />SIGNATURE <br />Address <br />MECHANICAL Nil-- <br />SIGNATURE <br />Addrus <br /> <br /> <br />I <br />I <br />I <br />I <br />rd1t- <br />I <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />rti1r <br />/i51 <br />tilt- <br />NIb <br /> <br />GAS <br />FINISHED FLOOR ELEVATIONS I <br /> <br />SPECIALTY 0 <br />FLOOD ZONE AREA <br /> <br />OTHER <br />DYES <br /> <br />~ <br /> <br /> <br />PLUMBING <br /> <br />MECHANICAL <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />I ~'U/IU'jJ' h.~ Q.oN,.Trw,a.r;,J <br />~ FEE CURRENT ~ <br />License # It! 6e.. O.y" t..33 <br /> <br />COMPANY <br />REGISTERED <br /> <br />~ <br /> <br />FEE CURRENT <br /> <br />~ <br /> <br />license tI <br /> <br />COMPANY <br />REGISTERED ~ FEE CURRENT ~ <br /> license tI <br />COMPANY <br />REGISTERED ~ FEE CURRENT ~ <br /> license # <br />COMPANY <br />REGISTERED ~ FEE CURRENT ~ <br /> license # <br /> <br />OTHER <br />SIGNATURE <br /> <br />Address <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 dete, Required on site, Construction Plans, Sanitary Fadlities & 1 dumpster <br />Attach (3) sets of Building Plans; (1) set of Energy Forms, <br />Minimum ten (10) worl<ing days after submittal date. Required onsite, Construction Plans, Sanitary Fadlities & 1 dumpster <br />All commercial requirements must meet compliance. <br />Attach (2) sets of Engineered Plans, <br />-"PROPERTY SURVEY required for all NEW constI\Jctlon, <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 oyer S25oo, a NoUce of Commencement Is required. (AlC upgrades over S5000) <br /> <br />Agent (for the contractor) or Power of Attomey (for tha owner) would be someone with notarized letter from owner authorizing same <br /> <br />OVER THE COUNTER PERMlmNG (Front of Application Only) <br />Reroofs Sewers Service Upgredes AlC Fences (PloUSurveylFootage) <br /> <br />Drlveways-Nol over Counter if on public roadways..needs ROW <br />