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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 />Owner's Name <br /> <br />Owner's Address I G l.f z.. / <br />Fee Simple Titleholder Namel <br /> <br />/Jr <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />DESCRIPTION OF WORK <br /> <br />( ITvt V'- h'vt!j f-o '" 0 V <br />~I '(v(.v Q'1.k.s I <br />B <br />CJ <br />CJ <br />C/o S( {~/ <br /> <br />BUILDING SIZE I I SQ FOOTAGE I HEIGHT I <br />111""1'111111111'1"'1111111,1'11111111111111111111.1IIIIIIIt'tllllllllllllllll'IIIIIII'IIIIIIIII""11111111111'111111111""1'1111111111""" <br /> <br />Fee Simple Titleholder Address I <br /> <br />I ~4 Z- <br />I <br /> <br />JOB ADDRESS <br /> <br />LOT # <br /> <br />SUBDIVISION <br /> <br />PARCEL 10#1 <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />B <br />D <br />D <br />l~o6( <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br />FRAME <br /> <br />D 3 - 2...&'-21- 0 I Lo -6D() 00 -o~ 70 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />DEMOLISH <br /> <br />WORK PROPOSED <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />D <br />D <br />D <br /> <br />OTHER I <br />STEEL D <br /> <br />OTHER I <br /> <br />1$ ~Q dD I <br />1$ I <br />1$ I <br />1$ I <br /> <br />D GAS ~ ROOFING CJ SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />1I11I111111111111111111111111111111111111111I11111I1I11I1111I111111I11111111111111111111111I11111111I111111111I1I11I11111111I111111111111111111111 <br /> <br />~~~~~~RE l)wtf-~-. ~~~~~~ 15Lft~/i'~:~u~~h~ Y/N I <br /> <br />License # Ic'ee o)7xr-1 <br /> <br />D <br /> <br />BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D <br /> <br />ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C, <br /> <br />D <br />D <br /> <br />PLUMBING <br /> <br />MECHANICAL <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />Address <br /> <br />.3 3D I () 5 K ~ L <br /> <br />('o 60)(( IW <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />I <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />License # <br />111111111111111111111111111111I1I1111111111111111I11II1111111II111I1111111I111111111111111111I11I1111111111111111111I111111111I111 <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 />1I1111I11111I1I11111II11111111111111I111111I11111II111111111I11I11II111111111111I1111111I1111II11111III1111111111111111111111II1II1II1111II11I1111 <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. (A1C 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 Ale <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 />