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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 /> <br />Date Received <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />(f/3) ~/f/-6g~;; I <br />, , " I <br />I <br />I <br /> <br />LOT# I <br /> <br />Owner"s Name <br /> <br />Fee Simple Titleholder Address 'I <br /> <br />JOB ADDRESS . 51763 <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />B <br /> <br />DEMOLISH <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />DESCRIPTION OF WORK <br /> <br />~UILDING SIZE <br /> <br /> <br /> <br />SIGN PERMIT <br /> <br />D BUILDING 1$ <br /> <br />D ELECTRICAL 1$ <br /> <br />D PLUMBING 1$ <br /> <br />o MECHANICAL 1$ <br /> <br />o GAS 0 ROOFING D SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br />1111111111111111111111111111I11I1II111I111111111I11111111111111111I11111111111111111111111111111111111111111I~IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII <br /> <br />::::~~RE f~~ R ~ I ~~=: ~rr~n~NT YIN I <br /> <br /> <br />Address _ License # I I <br /> <br /> <br />~:ll''::::~N ! I\/A ~~~~.: Y IN. FEE "'""'NT Y I N I <br /> <br /> <br />Address License # I I <br /> <br />PLUMBER ~/ / A COMPANY I <br />.",NA TURE , / I-i REGlSTERED Y I N FEE CiJRRENT Y I N <br /> <br />,Address _ License # I <br /> <br /> <br />:I~~~~,~~:L !. N / A ~~:~".: Y I N FEE ","",NT Y IN I <br /> <br />Address , I License # I <br /> <br /> <br />~;::'::TURE I ;:'0::": I Y I N FEE CURRENT Y I N I <br /> <br />Address I I License # I I <br />11111111111111111111111111111111111111' 11111111I1111111I11111111111111111111111 i IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIJ 111111111111111 <br />RESIDENTIAL Attach (2) Plot Plans; (2) 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 />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 />111111111111111111111111111111111111111111 J 111111 J 11111 J 1111111111111111111111111111111 J 1111111111111111111111111111111111111 J III J 11111111.1 1111111 <br />Directions: ' " : <br />Fill out application completely. <br />Owner & Contractor sign back of application, notarized <br />If over $2500, a Noli\:., pf Commencement Is required. (AlC upgrades over $5000) <br /> <br />.., Agent (for the contractor) 'or Power of Attorney (for the owner) woulcl be someone with notarized letter from owner authorizing <br /> <br />OVER THE COUNTER PERMITTING (Front of Application Only) <br />Reroofs Sewers Service Upgrades AlC <br /> <br />ca~Co6. oi) <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 />COMMERCIAL <br /> <br />Driveways <br /> <br />Fences <br /> <br /> <br />1. <br />i <br />i <br /> <br />'_ cT'''':'tlIl!'".''C'. <br />