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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />FaX-813-784il~ ,~ <br /> <br />Date Received <br /> <br /> <br />V~ <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number , <br /> <br />Owner Phone Number I <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder ~ame' <br /> <br />JOB ADDRESS <br /> <br />Fee Simple Titleholder Address 'I <br /> <br />" 3(Q~Y-'- <br />I <br /> <br />I LOT # I <br />I <br /> <br />PARCELlD#112-2~-ZI- OOIO-DOI O()- D68u <br />(qBTAINED FROM PROPERTY TAX NOTICE) <br />o SIGN 0 MOVE 0 <br /> <br />o <br />D <br /> <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />DEMOLISH <br /> <br />OTHER I <br />STEEL 0 <br /> <br />OTHER I <br /> <br />I <br />J <br />I <br /> <br />~U1LDING SIZE <br /> <br />o <br /> <br />00 <br /> <br />ELECTRICAL <br /> <br />AMP SERVICE ,;zCO <br /> <br />rn <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C <br /> <br />D <br /> <br />PLUMBING <br /> <br />D <br /> <br />MECHANICAL <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />Address <br /> <br />LIcense # <br /> <br /> <br />ELECTRICIAN <br />SI~NA TURE <br /> <br />r- <br /> <br />4t~//;~ EkC"4~ J=",c- <br />Y/N J 'FEECURRENT Y/N I <br />L1cense#/Z::c 131:)0/3 ~3 <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br /> <br />MECHANICAL I <br />SI(;NA TURE , <br /> <br />Address I <br /> <br /> <br />OTHER I <br />SIGNATURE <br /> <br /> <br />Address I License # <br /> <br />IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII! 111111/111111111111111111111111111111111 i IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIJ 1 11111111/11111 <br /> <br />RESIDENTIAL Attach (2) Plot Plans; (2) St;lts of Building Plans; (1) set of Energy Forms <br />Minimum ten (10) working days after submittal date. Requ/i'ed onslte. 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 /> <br />111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111.11 111111 <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 wtth notarized letter from owner authorizing sam"".' <br /> <br />OVER THE COUNTER PERMITTING (Front of Application Oniy) <br />, Reroofs Sewers Service Upgrades AlC <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />YI N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />I YI N 'I <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Driveways <br /> <br />Fences (Plot/Survey/Footage. <br /> <br />