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<br />B13-7B~020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax.s13.7a~021 <br /> <br /> <br />Dete Received <br /> <br />Owner's Neme <br /> <br />Owner's Address <br /> <br />e. <br />~AYYlC\ fG~1 <br /> <br /> <br />B NEW CDNSTR ~ ADD/ALT 0 <br />INSTALL ~ REPAIR <br /> <br />PROPOSED USE 0 SFR 0 COMM 0 OTHER : <br /> <br />TYPE OF CONSTRUCTION 0 BLOCK 0 FRAME 0 STEEL 0 OTHER I a.'~ "'~" I.f r('"') <br /> <br /> <br />:::::",WORK IConI'IPJ-:~,.:~z (~O:'f7~1O (_Ner I <br />o BUILDING I' &) 1../ J-~ ~ <br />o ELECTRICAL I' I <br />o PLUMBING I' I <br /> <br />o MECHANICAL I' I <br /> <br />o GAS D ROOFING 0 <br /> <br />FINISHED FLOOR ELEVATIONS I I <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />o <br /> <br />D <br /> <br />SIGN <br /> <br />MOVE <br /> <br />DEMOLISH <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />,,'Ie, c. <br />~'-' - <br /> <br />SPECIALTY 0 <br />FLOOD ZONE AREA <br /> <br />OTHER <br /> <br />DYES <br /> <br />DNO <br /> <br />BUILDER <br />SIGNATURE <br /> <br /> <br />Add...... <br /> <br />ELEClRlCIAN I <br />SIGNAnJRE <br /> <br />Add...... I <br /> <br />FL ~ k3License# <br /> <br />COMPANY I <br />REGISTERED L...!!1:!...J FEE CURRENT <br /> <br />L!.!!:U <br /> <br />License # <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED L...!!1:!...J FEE CURRENT L!.!!:U <br /> License # <br />COMPANY <br />REGISTERED L...!!1:!...J FEE CURRENT L!.!!:U <br /> License # <br />COMPANY <br />REGISTERED L...!!1:!...J FEE CURRENT L!.!!:U <br /> License # <br /> <br />Address <br /> <br />MECHANICAL <br />SIGNAnJRE <br /> <br />Address <br /> <br />OTHER <br />SIGNATURE <br /> <br />Add....s <br /> <br />RESIDENTIAL <br /> <br />Attach (2) Plot Plsns; (2) sets of Building Plsns; (1) set of Energy Forms <br />MinimllTl ten (10) working deys BIter submlll8l date. Required ons~e, Construction Plans, Sen~ery FeciI~ies & 1 dumpster <br />Attach (3) sets of Building Plens; (1) set of Energy Fonns. <br />Minimum ten (10) working days BIter submlll81 date. Required ons~e, Construction Plans, Sen~ery Feciinies & 1 dumpster <br />All commerciel requirements must meet compliance. <br />Attach (2) sets of Engineered Plens. <br />-PROPERTY SURVEY required for ell NEW construction. <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Directions: <br />Fill out application completely. <br />Owner & Contractor sign beck of application, notarized <br />If over $2500, a Notice of Commencement is required. (A1C upgredes over $50001 <br /> <br />Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter frcm owner authorizing same <br /> <br />OVER THE COUNTER PERMITTING (Front of Application Only) <br />Rercofs SewersServi ce Upgrades A1C Fences (PloVSurvaylFootage) <br /> <br />Driveways-Not over Counter n on public roedways"needs ROW <br /> <br />~~.\ <br /> <br />\.. <br /> <br />-.;::, <br />q7 .~ <br />. <br /> <br />5", I ~ ~Ai>~ <br />