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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780."- <br /> <br />Date Received <br /> <br /> <br /> <br />Owner's Name <br /> <br />Owner's Address .sLY/:? <br /> <br />Fee Simple Titleholder Namel ~/'7 E 7#F 1'9 r/!€ ~F .::2r~1/ Y/2#tt.-tJ <br /> <br /> <br />JOB ADDRESS <br /> <br />4-/'"'# h?#/CLJ ,c-C-~ YJS?".2 <br />LOT # I <br /> <br />I <br /> <br />D NEWCONSTR c=J.. ADD/ALT D <br />D INSTALL 0 REPAIR <br />D SFR 0 COMM D OTHER <br />~ BLOCK D FRAME D STEEL D OTHER I <br /> <br />I /SF/'(~ Xt1r'G""P S'~9T/~~ MT# Jmp/(/I"; J'E&77"vv:O-4.oJ <br />I I ) I ft;~#~ <br />SQ FOOTAGE ",;2CJO X S-tJ HEIGHT .;2./ . <br /> <br />PARCELlD#1 C;2 :2/--2/-tJtJ/tJ-{ltlftftl- dt!.2tJ <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />DEMOLISH <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br /> <br />D BUILDING <br />D ELECTRICAL <br />D PLUMBING <br />D MECHANICAL <br />D GAS <br /> <br />1$ /J?~ tJOO I <br />1$ NOliE I <br />1$ ~ r/(f: I <br />1$ ffi/t"-€ I <br />D ROOFING D <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />~ <br /> <br />PROGRESS ENERGY <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />OTHER <br />DYES <br /> <br />DNO <br /> <br />D <br />F{m - Copy 3/f9 <br />su-he kd <br />~O~- <br />Q... <br />..-.......... "'. ~~.~ <br />~ .~ r <br />"')\- \.. \ . <br /> <br />W.R.E.C, <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />BUILDER <br />SIGNATURE <br /> <br /> <br />License # <br /> <br /> <br />Y/N <br /> <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />ELECTRICIA <br />SIGNATURE <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />YI N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y I N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED Y I N I FEE CURRENT Y I N <br /> <br />I License # I I <br />111111II1111I11III11111111111I1111111I11111111111111111111111111111111111I11111111111I111I1111111111111I111111111I1III111111111111 <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 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 />gi~~~~I~~~': 11111I1I1111I11I11111111111111111111 1 11111111111 1 1111111I1111111111I1111111111111111111111111111111111111111I11111111111111111111111111 <br /> <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 />OVER THE COUNTER PERMITTING (Front of Application Only) <br />Reroofs Sewers Service Upgrades AlC <br /> <br />Address <br />111111111111111 <br />RESIDENTIAL <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 />