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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 Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />owner's Name <br /> <br />Fee Simple TItleholder Add..... I <br /> <br />I~A!S <br />I <br /> <br />JOB ADDRESS <br /> <br />LOT # <br /> <br />SUBDMSION <br /> <br />WORK PROPOSED <br /> <br />NEW CONSTR <br />INSTALL <br /> <br />SFR <br />BLOCK <br /> <br />DEMOLISH <br /> <br />OTHER I <br /> <br />BUILDING SIZE <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 />CJ <br /> <br />W.R,E.C. <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />OTHER <br /> <br />DYES <br /> <br />DNO <br /> <br />BUILDER <br />SIGNATURE <br /> <br /> <br />. <br />'1 t ...J'>COMPANY ~ FEE CURRENT ~ <br />" REGISTERED <br />I license # <br />COMPANY <br />REGISTERED ~ FEE CURRENT ~ <br /> license # <br />COMPANY <br />REGISTERED ~ FEE CURRENT ~ <br /> License # <br />COMPANY <br />REGISTEREO ~ FEE CURRENT ~ <br /> License # <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />, <br />, <br /> <br />Add..... <br /> <br />MECHANICAL I <br />SIGNATURE . <br /> <br />Add..... I <br /> <br />OTHER I <br />SIGNATURE <br />Add..... 1 <br /> <br />,) <br /> <br />\ ~ <br /> <br />\ ~, <br />\ ~, ',,/ <br /> <br />RESIDENTIAL <br /> <br />Attach (2) PIoI Plans; (2) sets of Building Plans; (1) set of Energy Fonns <br />Minimum ten (10) working days after submittal date. Required onsita, Construction Plans, Sanitary Fadl~ies & 1 dumpster <br />Attach (3) sets of Building Plans; (1) set of Energy Fonns. <br />Minimum ten (10) working days alter submittal date. Required onsite. Construction Plans, Sanitary Fadlities & 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 /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Dlreetlons: <br />Fill out application completely. <br />Owner & Contractor sign back of application, notarized <br />If over $2500, a Notice of Commencement Is required. (AIC upgrades over $5000) <br /> <br />Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized lelter from oWner authorizing same <br /> <br />OVER THE COUNTER PERMITTING (Front of Application Only) f_ /1.a '" / <-(k,Jlt1 CJv(..- C 1L 11-" f) '5 e<.. Il L <br />Reroofs Sewers Service Upgredes AlC Fences (PlotlSurvaylFootage) /- <.0 ,.... f/ I), --l <br />, /1,< c-;~11J'7 (~'('l<- (Jf1.,. 0.._ ()-1' ,c."" <br />Driveways-Not over Counter ~ on public roadways..needs ROW tL $ '" .J,( Ff-'...P v..;r . ~ -...J <br /> <br />j)tJ j-74N~ ~'~~'IJI,..'7 SjJau f.. <br /> <br /> <br />J.~~ ~ ~<? j . d-t/(,t1~-< t;;;;) ~~'l <br />