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<br />Date Received <br /> <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br />Paxo PU~ ,+5ervt <br />Phone Contact for permlttln <br /> <br />Fax-813-780-0021 <br /> <br />813-780.0020 <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder ~ame <br /> <br />6avne <br />'I ~a.~ aboVe, <br />LIt <br /> <br />~ 3&5Z(t) LOTti ILl I <br /> <br />I <br /> <br />PARCEL ID# I ~Jj.-;l ~ - :l/- /; ()loOk) - d6 olx)--lll 0 <br />(QBTAINED FROM PROPERTY TAX NOTICE) , ' <br />ADD/ALT D SIGN D MOVE D DEMOLISH <br />REPAIR <br />COMM D <br />FRAME 0 <br /> <br />Fee Simple Titleholder Address <br /> <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />~ <br /> <br />PROPOSED USE D <br />TYPE OF CONSTRUCTION' D <br /> <br />DESCRIPTION OF WORK I (J-!aS6 <br /> <br />BUILDING SIZE 11;< X I ;Z I <br /> <br />,~. ,.".......,......,.,.. ,.,.".,.....,." j.,...,.................,.............................................,....,....,.,......................... <br /> <br />[2g BUILDING 1$ /Ii, h'16 qQ.. <br /> <br />o ELECTRICAL 1$ <br /> <br />o PLUMBING 1$ <br /> <br />[Z] MECHANICAL 1$ <br /> <br />D GAS D <br />FINISHED FLOOR ELEVATIONS I <br /> <br />WORK PROPOSED <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />B <br />D <br />o <br />~f)OIY1 <br /> <br />sa FOOTAGE I <br /> <br />OTHER I <br />STEEL D <br /> <br />OTHER I <br /> <br />I <br />I <br />I <br /> <br />Itftl <br /> <br />HEIGHT I <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />~ <br /> <br />W.R.E.C <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />ROOFING <br /> <br />D <br />I <br /> <br />SPECIALTY 0 <br />FLOOD ZONE AREA <br /> <br />OTHER <br /> <br />DYES <br /> <br />p-4NO <br /> <br />Address <br /> <br /> <br /> <br /><;;) <br /> <br />~~ fkr<Jfft~V5}N I <br /> <br />u>.:rD 6cx:r~ <br />License # I <br /> <br />I Wf.ri E= PI ~~C <br /> <br />License #1 n I UL <br /> <br />BUILDER <br />SIGNATURE <br /> <br />ELECTRICIAN <br />SI~NA TURE <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 />License # <br /> <br /> <br />License # <br /> <br />Address <br /> <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />SIGN PERMIT <br /> <br />I <br /> <br /> <br />Address I License # I I <br />11111111111111111 1111 II I11I111111I1I11 , II 1111111111 1I11I1111I1 " 11111111 " 11111 i 111111111111111 " 11111 III 11I11 111111111 11111111 IIIj II II II III 111111 <br />RESIDENTIAL Attach (2) Plot Plans; (2) Sl,lts 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 />Attach (3) sets of Building Plans; (1) set of Energy Forms. <br />Minimum ten (10) working days after submittal date. Required onslle, 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 />11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <br />Directions: ".' : <br />Fill out application completely. <br />Owner & ContraGtor sign back of application. notarized <br />If oyer $2500, a Notice of Commencement 15 required. (AlC upgrades over $5000) <br />.. , Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing sal1!!! . <br /> <br />OVER THE COUNTER PERMITTING (Front of Application Only) <br />, Reroofs Sewers Ser:vice Upgrades NC <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />I YI N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />COMMERCIAL <br /> <br />Driveways <br /> <br />