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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 />Date Received <br /> <br /> <br /> <br />Owner Phone Number 1 <br /> <br />Owner Phone Number 1 <br /> <br />Owner's Name <br /> <br />(~o.. \ \ <br /> <br />1 <br />I <br />1 <br />I LOT # 1 I <br />PARCEL 10# 111- 2.lo - 21- CDIO- OOlf..cC{) - ~ <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />ADDIAL T D SIGN D MOVE D <br />REPAIR <br />D <br />D FRAME D STEEL D <br /> <br />\~\ of 4B11 ewe.c..n '3-~\\ p...\u.m\Y\U-.\N\ ~(e.. <br /> <br /> <br />Fee Simple Titleholder Name 1 <br /> <br />JOB ADDRESS <br /> <br />Fee Simple Titleholder Address 1 <br /> <br />IS,3L\ <br />1 n}~ <br /> <br />\::>\vd. <br />I <br />B <br />D <br /> <br />DEMOLISH <br /> <br />SUBDIVISION <br /> <br />~ <br /> <br />PROPOSED USE D <br />TYPE OF CONSTRUCTION D <br /> <br />DESCRIPTION OF WORK Ii Y\s\a. \ \ <br /> <br />I <br />1$ 31 Y83. eo I <br />1$ I <br />1$ 1 <br />1$ 1 <br />D GAS D ROOFING D <br />FINISHED FLOOR ELEVATIONS 1 I <br /> <br />WORK PROPOSED <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br /> <br />COMM <br /> <br />OTHER <br /> <br />BLOCK <br /> <br />OTHER I <br /> <br />SQ FOOTAGE I <br /> <br />HEIGHT I <br /> <br />BUILDING SIZE <br /> <br />D BUILDING <br />D ELECTRICAL <br />D PLUMBING <br />D MECHANICAL <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C, <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />OTHER <br />DYES <br /> <br />DNO <br /> <br />BUILDER COMPANY <br />SIGNATURE REGISTERED <br />Address <br />ELECTRICIAN I COMPANY <br />SIGNATURE REGISTERED <br />Address I <br />PLUMBER I COMPANY <br />SIGNATURE REGISTERED <br />Add ress I <br /> <br />~ FEE CURRENT ~ <br /> License # <br />~ FEE CURRENT ~ <br /> License # <br />YI N FEE CURRENT ~ <br /> License # <br />~ FEE CURRENT ~ <br /> <br />MECHANICAL I COMPANY <br />SIGNATURE REGISTERED <br /> <br />Add ress I <br /> <br />OTHER IlL.... _....-.-:.... ~ I COMPANY <br />SIGNATURE ~ REGISTERED <br />Address I P6Bo~ lDlq, ml..A' 'o€Kn-f, R I <br /> <br />License # I <br /> <br />11f~~~'\~E~~e.~ <br /> <br /> <br />License # I <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 onsile, 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, Sanitary Facilities & 1 dumpster <br />All commercial requirements must meet 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 $50001 <br /> <br />Agent (for the contractor) or Power of Attomey (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 (PloVSurvey/Footage) <br /> <br />Driveways,Not over Counter if on public roadways..needs ROW <br />