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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 />*~<f0" <br /> <br />/' Owner's Address <br /> <br /> <br />'-p~ r~vns <br /> <br />St 2 H FL 33S-c; 2- <br /> <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Date Recei~ed <br /> <br />./ <br /> <br />q'fh <br /> <br />Fee Simple Titleholder Name <br /> <br />S2/~ <br /> <br />C)fh c5r <br /> <br />2 )1. Fe!- <br /> <br />; <br /> <br />t/rsiw,c ~= <br /> <br />./ JOB ADDRESS <br /> <br />Fee Simple Titleholder Address <br /> <br />L <br />I <br /> <br />WORK PROPOSED <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />I <br />B <br />D <br />D <br />bec:-J< <br /> <br />PARCEL 10#1 <br /> <br />SUBDIVISION <br /> <br />(OBTAINED FROM PROPERTY TAX NOnCE) <br />SIGN D MOVE D <br /> <br />DEMOLISH <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />B <br />D <br />D <br />I /2/ X )jpl <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br />FRAME <br /> <br />D <br />D <br />D <br /> <br />OTHER <br />STEEL <br /> <br />I <br />D <br /> <br />OTHER I <br /> <br />/' DESCRIPTION OF WORK <br /> <br />~BUILDING SIZE 1/2 V I/' D~c-J< I SQ FOOT~E I /12- 51- I HEIGHT I I <br />1IIIIIIIIIInTt III1IIIII "'1111" III1II11IIIII111111 I 111111111,111111' I' It r III1IIIIIIII111 '.'1'11111111 'II ,t, 11111' '.'11111111111111111111 1'111111 <br /> <br />D <br /> <br />ROOFING <br /> <br />I <br />I <br />I <br />I <br />D <br />I <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />t::' e:t Wslxi uJ) <br />~ ~r()'J~J. <br />E~~ \\~~\C1 <br />-I ..... U \\':J~ t? "t-- <br />~ D\~ ,-{e <br />\ ~)-" <br /> <br />W.R.E.C, <br /> <br />BUILDING ./ 1$ ~Ot' gJJ-, <br /> <br />1$ <br /> <br />1$ <br /> <br />1$ <br /> <br />D GAS D <br />FINISHED FLOOR ELEVATIONS I <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D <br />D <br />D <br /> <br />ELECTRICAL <br /> <br />PLUMBING <br /> <br />MECHANICAL <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY D <br />F.LOOD ZONE AREA <br /> <br />OTHER <br /> <br />DYES <br /> <br />DNO <br /> <br />Address <br /> <br />ELECTRICIAN I <br />SIGNATURE <br /> <br /> <br />.~5b ~ <br />f..... /' <br />COMPANY /Y"r\D c ~) W (\ 0 . <br />REGISTERED Y I N I FEE CURRENT <br /> <br /> <br />BUILDER <br />./ SIGNATURE <br /> <br />Y/N <br /> <br />License # <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 />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />License # <br />1111111I11I11111II111111111111111111111111111111111111I11111111111111111111I1111111I11111111111111I1111111111111111IIII11111111111 <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 />1I11111111111I11111I11111I1111I111111111111II11111111111111111111I1I111I1I111111I11111II111111111111I1II111I11111111I11II11111111111111111II11111I <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 A/C <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 />