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<br />". <br /> <br />City of Zephyrhills Permit Applic.ation <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br />813-780-0020 <br /> <br />Date Received <br /> <br />1- 2-0 <br />V ,J <br /> <br />Owner's Address 3 f ~ 0 S <br />F.. Slmpl. nil. holde' .....1 ~~A t~ <br /> <br /> <br />Fee Simple Titleholder Address I . . . <br /> <br /> <br /> <br />OWner Phone Number <br /> <br />Owner Phone Number [ <br /> <br />Owner Phone Number [ <br /> <br />Owner's Name <br /> <br />JOB ADDRESS <br /> <br />.1 <br />I <br /> <br />lOT' <br /> <br />WORK PROPOSED <br /> <br />B <br /> <br />PROPOSED USE 0 <br />TYPE OF CONSTRUCTION 0 <br /> <br />DESCRIPTION OF WORK I ~ <br /> <br />~UILDING SIZE ' 1 SQ FOOTAGE 1 I HEIGHT I I. <br /> <br />1 ~ . " . .. I . . . . I . . . . , , . I . . I , . . . , .. . . . . . . I , , . I ; , , , , . I . . , I . . . . . , . . . , . , . . II , . . , . . , , , , . . . , .. I: .. . .. .. . . .. .. I , , . . , . . , 1 , ' I . . . . , I , , . 1 . I . . I . , , .. I .. . . .. . . . , , I <br /> <br />, <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />I PARCEL 10.1 (QBT AINED FROM PROPERTY TAX NOTICE) <br />B ADD/ALT 0 SIGN 0 MOVE 0 DEMOLISH <br />REPAIR <br />0 COMM 0 OTHER I <br />0 FRAME 0 STEEL 0 OTHER I <br /> <br />SUBDIVISION <br /> <br />I <br />I <br />I <br /> <br />o BUILDING 1$ <br /> <br />o ELECTRICAL 1$ <br /> <br />o PLUMBING 1$ <br /> <br />o MECHANICAL ~:=/// <br /> <br />D GAS . ROOFING <br />FINISHED FLOOR ELEVATIONS <br /> <br />I <br />I <br />I <br />I <br />D <br />I I <br /> <br />1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111\ <br /> <br />BUILDER I I COMPANY I' I <br />SIGNATURE REGISTERED Y 1 N FEE CURRENT Y 1 N <br /> <br />Address I license # I <br /> <br />ELE., CTRIClAN I COMPANY I <br />SIGNATURE . REGISTERED Y I. N . FEE CURRENT Y 1 N <br /> <br />Address I license # I <br /> <br />PLUMBER I COMPANY I <br />SIGNATURE . REGISTERED Y 1 N FEE CURRENT Y 1 N <br /> <br />I license # I <br /> <br />I <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />o <br /> <br />W.R.E.C <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY 0 <br />FLOOD ZONE AREA <br /> <br />OTHER <br />DYES <br /> <br />DNO <br /> <br />. Address <br /> <br />ME. CHANICAL I <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />YI N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br /> <br /> <br />SIGN PERMIT <br /> <br />OTHER COMPANY <br />SIGNATURE REGISTERED <br /> <br />Address J.5' ttOY -?, .. . license # <br />111111111111111; 11111111111I1111I11111 ! 111111 ~ I; 11111111111111I11111111111I1111 i II 1 111111111111111111111111111111111111111111111111111111111111111 <br />RESIDENTIAL Attach (2) Plot Plans; (2) sels 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 />Attach (3) sets of Building Plans; (1) set of Energy Forms, <br />Minimum ten (10) working days after submittal date. Required onslte, 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 />1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111.1111111111111111111111111111111111111111111 II 1111111 <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. (AJC upgrades over $5000) <br />... Agenl (for the contraclor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing sam!' <br /> <br />OVER THE COUNTER PERMITTING (Front of Application Only) <br />. Reroofs Sewers Service Upgrades " AlC <br /> <br />Driveways <br /> <br />Fences (PlotlSurvey/Footagfi! . <br /> <br /> <br />COMMERCIAL <br />