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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 />Fee Simple Titleholder Name <br /> <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I ~~ \ 3 -~ ~ 8 - <br />Owner Phone Number I <br /> <br />g\3-~3g--3 )~ <br />\~3~ I <br />I <br />I <br />I <br />I <br /> <br />Date Received <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Address <br /> <br />JOB ADDRESS <br /> <br />,SQYYle. <br /> <br />o...s 0.. ~ \( e.. <br /> <br />LOT # <br /> <br />WORK PROPOSED <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br /> <br />BLOCK <br /> <br />PARCELlD#1 \ \ - 2~ - '21 - 0010 _ (15-700 - 0120 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN 0 MOVE 0 <br /> <br />I <br /> <br />D ADD/ALT 0 <br />D REPAIR <br />D COMM 0 OTHER 1'tJ.<"..u.) Pec> \ (' tln~tru..d low <br />D FRAME 0 STEEL 0 OTHER I <br /> <br />l(\~ ,0 u...X"lcl 'fD1.- \(\S+o..~ \e. ol. <br /> <br />BUILDING SIZE I I SQ FOOTAGE I I HEIGHT I <br />TTr~IIIP'IIIII"lllt"II"'III'IIIIIIIII""lllllt'llll11111111111"'1111111'111111"111111111""'111111"11IIIII,I'IP"IIIIIIIIIIII,I'III' <br /> <br />SUBDIVISION <br /> <br />DESCRIPTION OF WORK <br /> <br />B <br />o <br />o <br />I COlic. r-e-'\e..- <br /> <br />DEMOLISH <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />1$ 15,5.35 .DO <br />1$ AMP SERVICE ~ PROGRESS ENERGY D <br /> <br />II: A lot. ~y-Cf:Jif'1~ <br />VALUATION OF MECHANICAL INSTALLATION 1'. r O~ J <br />~.vfW ;){-t-; <br />D GAS 0 ROOFING D SPECIALTY 0 OTHER ~Zo' ~7t ;~_r q~ <br />FINISHEDFLOOOELEVATIONS I I FLOOD ZONE AREA DYES ~o (I,lL ,~r-~ <br /> <br />11111111111111111I11111111111111111111111111111111I11111I111I11111111111111111I11111111111111111II111111111111111111111111111111111111111111~ <br /> <br />BUILDER 10/1 n~, <br />SIGNATURE . ~ <br /> <br />Address U~O ~J. &0..1'1 loY\ Lo.-n;<:. $:c \<; (\~~ 11= L <br /> <br />o <br /> <br />o <br />D <br />D <br /> <br />BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />ELECTRICAL <br /> <br />W.R.E.C, <br /> <br />PLUMBING <br /> <br />MECHANICAL <br /> <br />'/0 <br />M~ ~::.~~:~~ Y I N <br />Address h.c:o ~C\ C::D()fIIO! LOn-e ~e v lI1 ~~~ License # I cfJcl'f5/bJ I <br />MECHANICAL I I COMPANY I I <br />SIGNATURE . REGISTERED Y I N FEE CURRENT Y I N <br />Address I License # I <br /> <br />OTHER I COMPANY I <br />SIGNATURE . REGISTERED Y I N FEE CURRENT Y I N <br /> <br />Address I I License # I I <br />11111I111111111111111111111I111111111111111111I1111111111I111111111I111111111111I111111II1111I111111111II111111111111111111111111I11I1111111111111 <br />RESIDENTIAL 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 />111I1111I1111I111111111111111111111111111111111111111111111I11I1I111111I11111111111111111111111111111111111111111111111111111111111111111111111111 <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. (AlC 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 AlC <br /> <br /> <br />l~'5.S~ <br /> <br />COMPANY <br />REGISTERED <br /> <br />~ 3 SgiJ <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />FEE CURRENT <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Fences (PloUSurvey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br /> <br />, . ' <br />