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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 />Date Received <br /> <br /> <br />e. <br /> <br />Co rr " <br /> <br />7J7-77/-SSf.(s- <br />Owner Phone Number 1013- 381- 9? D I I <br />Owner Phone Number I I <br />I <br />I <br />I <br /> <br />LOT # <br /> <br />Owner's Name r 0 <br /> <br />Owner's Address I S-OS3 <br />Fee Simple Titleholder Namel <br /> <br />( '8 -fh. ,<\ -} , <br /> <br />Fee Simple Titleholder Address I <br />JOB ADDRESS 156S_~ I ~t'h.. st, <br />SUBDIVISION I I PARCELlD#1 <br />WORK PROPOSED NEW CONSTR EJ ADD/AL T <br /> INSTALL REPAIR <br />PROPOSED USE SFR D COMM <br />TYPE OF CONSTRUCTION BLOCK D FRAME <br /> <br />, <br />Vlt\. <br /> <br />BUILDING SIZE SQ FOOTAGE I -I I HEIGHT I <br />IIIIIII"PIIIIIIIIIIIIIIII"IIIIIIIIIIIIIIIIIIIII'.'"1111111111111111111111111,.,.1'1111.,.1111111111111111'11111111111,1111111111111'1'111111111 <br /> <br />D BUILDING g (JOO, 00 I <br /> <br />D ELECTRICAL 1$ I <br /> <br /> <br />D PLUMBING 1$ I <br /> <br /> <br />D MECHANICAL 1$ I <br /> <br /> <br />D GAS D ROOFING D SPECIALTY D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />1111111111I111111I11111111111111111111I1111I1111111111I1111I111111I111111111111111111111111111111111111111111I1111111111I111I11111111111111II1111I <br /> <br /> <br />=:::~~~RE ~12- ~T7Ah~:: ~OY':';~"':'~_ Y/N I <br /> <br /> <br />Address _ I License # I I <br /> <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br /> <br />{I, 2 It; - ZI... 001 () .... 2 / r- () t> .- 6 () ( 0 <br />(OBT AIMED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />DEMOLISH <br /> <br />OTHER <br />STEEL <br /> <br />OTHER I <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 />ELECTRICIAN <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 />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 />MECHANICAL <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 />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y I N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />11I1I11II111I11111111111111111111I11111111111I111111111111111111111111111111111111I1111111111111I11111I1I11111I11111111111111I1111 <br />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 />Attach (3) 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 />All commercial requirements must meet compliance. <br />Attach (2) sets of Engineered Plans. <br />....PROPERTY SURVEY required for all NEW construction. <br />111111111111I1111II111II1111111I1I11111111111I111111I111111I111II11I111111111I111111111111111III11111I11111111111111I111111111I1111111111111111111 <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. (Ale upgrades over $5000) <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 PERMITTING (Front of Application Only) <br />Reroofs Sewers Service Upgrades NC <br /> <br />Address <br />111111111111111 <br />RESIDENTIAL <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Fences (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />