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<br />813-780.Q020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-78O.Q021 <br /> <br />Date Received <br /> <br /> <br />~ <br /> <br />Owner's Name <br /> <br />JOB ADDRESS <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Name ~ _ <br /> <br /> <br />Fee Simple Titleholder Address LQ J ~ <br /> <br />L:s:55~ <br />I <br /> <br />Owner Phone Number IaJ !l-1q3-/dJd{j <br /> <br /> <br />Owner Phone Number I I <br /> <br />I <br />i .~til ;:;- -[Pi? ~ I LOU L~~'" I <br />PARCELID#I"-~/^-.J\-/')()l{) -I ,~- D (J9) I <br />COBTAINED FROM PROPERTY TAX NOTICE) <br />D SIGN D MOVE D <br /> <br />D <br />D <br /> <br />ADD/ALT <br />REPAIR <br /> <br />DEMOLISH <br /> <br />SUBDIVISION <br /> <br /> <br />WORK PROPOSED <br /> <br />PROPOSED USE <br /> <br />TYPE OF CONSTRUCTION <br /> <br />DESCRIPTION OF WORK <br /> <br />I <br />1$ ~JDD.4 <br /> <br />D ELECTRICAL 1$ I <br /> <br />D PLUMBING 1$ I <br /> <br />D MECHANICAL 1$ I <br /> <br />D GAS D ROOFING 0 <br />FINISHED FLOOR ELEVATIONS I I <br /> <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />.,LJ'-{; <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />OTHER <br />DYES <br /> <br />DNO <br /> <br />BUILDER <br />SIGNATlJRE <br /> <br /> <br />Address <br /> <br />ELECTRICIAN I <br />SIGNATlJRE . <br /> <br />Address I <br /> <br />PLUMBER I <br />SIGNATURE <br /> <br /> qQ. ":>~ <br /> License # <br />COMPANY <br />REGISTERED L!.!..!:U FEE CURRENT I Y/N I <br /> License # <br />COMPANY <br />REGISTERED L!.!..!:U FEE CURRENT I YIN I <br /> License # <br />COMPANY <br />REGISTERED L!.!..!:U FEE CURRENT I Y/N I <br /> License # <br />COMPANY <br />REGISTERED L!.!..!:U FEE CURRENT I Y/N I <br /> License # <br /> <br />Address <br /> <br />MECHANICAL <br />SIGNATlJRE <br /> <br />Address <br /> <br />OTHER <br />SIGNATlJRE <br /> <br />Address <br /> <br />RESIDENTIAL <br /> <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 onsrte, 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 onsrte, 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 /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Directions: <br />Fill out application completely. <br />Owner & Contractor sign back of epplication, 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 wrth notarized letter from owner authorizing same <br /> <br />OVER THE COUNTER PERMITTING (Front of Application Only) <br />Reroofs SewersServi ce Upgrades IVC Fences (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter ~ on publiC roadways..needs ROW <br />