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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 />Owner's Address <br /> <br />Fee Simple Titleholder Namel <br /> <br /> <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Date Receiyed <br /> <br />Owner's Name <br /> <br />'-ItA tt- <br /> <br />Fee Simple Titleholder Address I <br /> <br />~.I-k. ~i, ble.{J1<1r~; (/~. r:-I '3"5 ~Lf~ <br /> <br />I I PARCELlD#1/1- :2lR - DD I 0 - D /~DD - DO 10 <br />(OBTAINED FROM PROPERTY TAX ....OTICE) <br />D NEW CONSTR E3 ADD/ALT D SIGN D MOVE D <br />~ INSTALL REPAIR <br />PROPOSED USE D SFR D COMM D OTHER I <br />TYPE OF CONSTRUCTION D BLOCK D FRAME D STEEL 0 OTHER I <br /> <br />DESCRIPTION OF WORK 1.t,.,~14!la.J'PN IJr; f)/)uAJf ~ilN~ e'$1et..,cL ()nDIt a CA$i'NIr <br /> <br />BUILDING SIZE I .. I SQ FOOTAGE I I HEIGHT I I <br />TIT"""III"'II"'II'I'II."'II"'II'I'IIIII'I""II'"111111111111"lllltl'IIII,lllr'IIIIIIIIIIIII"11111111"'111"11111111'11111"1111111""11 <br />D BUILDING 1$ 1'1D<-,;)1 I <br /> <br />D ELECTRICAL 1$ I <br /> <br />D PLUMBING 1$ I <br /> <br />D MECHANICAL 1$ I <br /> <br />D GAS D ROOFING D SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <br /> <br />IV~N~'"'~~~~' ~N I ~'L.c)1 <br /> <br />License # Ic-&c..O (PD~D\ I <br />I <br />I <br />I <br /> <br /> <br />~~ ~~# I <br /> <br />MECHANICAL I COMPANY I <br />SIGNATURE . REGISTERED Y / N FEE CURRENT Y / N <br /> <br />Address I License # I <br /> <br />OTHER I COMPANY I <br />SIGNATURE REGISTERED Y / N FEE CURRENT Y / N <br /> <br />Address I I License # I I <br />1111111111111111111I11111I111I1111I111I11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <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 />11111111111111111111111111111111111111111111111111111111111111111111111111111111111111I11111111111111111111111111111111111111111111111111111111111 <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 Attomey (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 NC <br /> <br />JOB ADDRESS <br /> <br />LOT # <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />DEMOLISH <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />,JO~~ <br /> <br />Address <br /> <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />BUILDER <br />SIGNATURE <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />Address <br /> <br />License # <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <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 />