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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-7BO-0021 <br /> <br />Date Received <br /> <br /> <br />Owner's Name <br /> <br />Own.... Add.... 14 q " ~ <br />Fee Simple TItleholder Name I n <br />Fee Simple TItleholder Address I <br /> <br />Owner Phone Number 'l' <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />JOB ADDRESS <br /> <br />11{9Jq <br />I <br /> <br />LOT II <br /> <br />~ <br /> <br />PROPOSED USE 0 <br />TYPE OF CONSTRUCTION 0 <br /> <br />DESCRIPTION OF WORK I s::J cJ <l" rh 0 N <br /> <br />~YI'-' I SQFOOTAGEI <br /> <br />NEW CONSTR <br />INSTALL <br /> <br />SFR <br />BLOCK <br /> <br />q tJos}. j'EpltV/'J+11I $ F I 33 Sl/:J.. <br /> <br />I PARCEL ID#I I JlI-..tt...,2/-DCll 0 - 001.00 - 00'10 <br />(OBTAINED FROM PROPERTY TAX NOncE) <br />B ADD/ALT 0 SIGN 0 MOVE 0 <br />REPAIR <br />o COMM 0 OTHER <br />o FRAME 0 STEEL <br /> <br />SUBDMSlON <br /> <br />WORK PROPOSED <br /> <br />DEMOLISH <br /> <br />I <br />o <br /> <br />OTHER L- <br /> <br />35'd-! <br /> <br />HEIGHT I <br /> <br />y' <br /> <br />BUILDING SIZE <br /> <br />w---- BUILDING <br />uzr ELECTRICAL <br />~ PLUMBING <br />[!:'J MECHANICAL <br />0 GAS <br /> <br />IS.$/ S"')() ,lIO I <br />IS fJ9rJ. tJ 0 I <br />IS ?:5 0 0 . () u I <br />IS/t 5"0 . 0 0 I <br />o ROOFING D <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D7EC <br />~OU LU1t)~.Q~OD <br />$\5~ CU'l"'"l,~t6_ <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />SPECIALTY 0 <br />FLOOD ZONE AREA <br /> <br />OTHER <br />DYES <br /> <br />/'\'c4 <br />OONO I 1 <br />:;.'- <br /> <br /> <br />BUILDER <br />S1GNATU <br /> <br />~~hA-_ ctIUS~.~ <br />Y N FEE CURRENT Y I N <br />License II It&O"~"'33 <br />~/,-d<r .e. <br /> <br />I 00 vx' <br />~~O ~/' <br />I <br /> <br />~ <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />cy <br /> <br />~ <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />~ FEE CURRENT <br /> <br />~ <br /> <br />Add...... <br /> <br />License II <br /> <br />RESIDENTIAL <br /> <br />Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fonns <br />Minimum ten (10) working days a1Ier submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster <br />Attach (3) sets of Building Plans; (1) set of Energy Fonns. <br />Minimum ten (10) WOI1<ing days a1Ier submittal date. Required onsite, Construction Plans, Sanitary Facilllias & 1 dumpstar <br />All commarcial requiremants must maat compliance. <br />Attach (2) sats of Enginaered Plans. <br />-"PROPERTY SURVEY required for all NEW construction. <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Direction.: <br />Fill out application completely. <br />Ownar & Contractor sign back of application, notarized <br />If over S25oo, a NolIee of Commencement Is required. (AlC upgrades over S5000) <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 PERMlmNG (Front of Application Only) <br />Reroofs Sewers SllfYice Upgrades AlC Fences (PlollSurveylFootage) <br /> <br />Driveways-Not over Counter if on publiC roadwaysnneeds ROW <br />