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<br />81J-780-00fO <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />~1,.()' Fax-813-780-0W~?S 1/ <br /> <br /> <br />Date Received <br /> <br />u/'? 7Y,t-:J9tJ <br />Owner Phone Number ~,J- <br />Owner Phone Number I 11 g-- ??"2- - J q d ) <br />OWner Phone Number I flJ -7 ii.. ~ 3 Cjo ) <br /> <br />Owner's Name <br /> <br />DESCRIPTION OF WORK <br /> <br />E3 <br />o <br />o <br />I <br /> <br />, <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />I <br />B <br />D <br />o <br /> <br />, <br /> <br />PARCELlD#II/p('?-,(/-t~~)/t' /? ,200 -00 ~~ <br />(QBT AINED FROM PROPERTY TAX NOTICEI <br />SIGN 0 MOVE 0 <br /> <br /> <br />LOT # <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />ADD/ALT <br />REPAIR <br /> <br />COMM <br />FRAME <br /> <br />o <br />o <br />o <br /> <br />DEMOLISH <br /> <br />WORK PROPOSED <br /> <br />OTHER I <br />STEEL 0 <br /> <br />OTHER ( <br /> <br />I <br />I <br />I <br /> <br />~UILDlNG SIZE I SQ FOOTAGE I HEIGHT I <br /> <br />........,...,........,..,...".........,...;........,......,........",.,...,',...,..".,',..,',..,......,..... J'.......,....,.,...,..........,.," <br /> <br />D BUILDING 1$ /~ {lOti. d CJ I <br /> <br />D ELECTRICAL 1$ I <br /> <br />D PLUMBING 1$ I <br /> <br />D MECHANICAL 1$ I <br /> <br />o GAS D ROOFING D SPECIALTY 0 OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />11111111111111111111111111111111111111111111111111111111111111111111 , 11111111111111111111111111111111111111111111111111111111111111111111111111111 <br /> <br />:::1~~RE I I ~"<>~';.'::'~ I Y f N FEE "'ARENT Y f N I <br /> <br /> <br />Address I License # I <br /> <br />ELE., CTRICIAN I COMPANY I <br />SIGNATURE . REGISTERED Y I. N . FEE CURRENT Y 1 N <br /> <br />~ <br />I <br />I <br />I <br />I <br />~'~~':TURE It) J1,A1 ; c::! f7 . a01A i;lft I ;~.';."= I Y f N FEE ""'RENT Y f N I <br /> <br /> <br />Address I License # I <br />11111111111111111111111111111111111111' 111I111111111111111111111111111111111111 i 1111111 J 111111111111111111111111111111111111111111j 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 onsite, Construction Plans, Sanitary Facilities & 1 dumpster <br />AtJach (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 />1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111.1111111111111111111111111111111111111111111111111111 <br />Directions: . . , <br />Fill out applicatlon completely. <br />Owner & Contractor sign back of application, notarized <br />If oyer $2500, a Notice of Commencement Is required. (A/C upgrades over $5000) <br /> <br />.., Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing <br /> <br />OVER THE COUNTER PERMITTING (Front of Applicatlon Oniy) <br />. Reroofs Sewers Service Upgrades AlC <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 />Address <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />YI N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />yrN <br /> <br />Address <br /> <br />License # <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Driveways <br /> <br />Fences <br /> <br />