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<br />813-780-0020 <br /> <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Date Received <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Namel <br /> <br /> <br />Fee Simple Titleholder Address 'I <br /> <br />s+ <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />WORK PROPOSED <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />I <br />B <br />D <br />D <br /> <br />ADD/AL T <br />REPAIR <br />COMM <br />FRAME <br /> <br />I LOT # I <br />PARCEL ID#III- z&- 2-1 -!pro -D3ya - OJ 3() <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />~ SIGN D MOVE 0 <br /> <br />o <br />o <br /> <br />JOB ADDRESS <br /> <br />51=l-fY1E <br /> <br />SUBDIVISION <br /> <br />B <br /> <br />PROPOSED USE 0 <br /> <br />TYPE OF CONSTRUCTION 0 <br /> <br />DESCRIPTION OF WORK I C fEZ/A-! C 0\/1' LF 5 It P-rf., JI>,) ~!t;'l...f n, N <br /> <br />BUILDING SIZE SQ FOOTAGE I HEIGHT I <br />.. 111111111TTTTTlII' 1111111111" 1111111' I11111 r' 11111" 1'11111111111' 11111111' 11111111111111111111111111111111111111111111111'1111111111'111111111 <br /> <br />DEMOLISH <br /> <br />OTHER I <br />STEEL D <br /> <br />OTHER I <br /> <br />D <br /> <br />1$ I <br />1$ 500- I <br />1$ I <br /> <br />D MECHANICAL 1$ I <br /> <br />D GAS 0 ROOFING D SPECIALTY 0 OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES CJNO <br /> <br />11111111111111111111111111111111111111111111'11111111111II11111111111111111111111111111111111111I111111111111I111111111I111111111111111111I1111111 <br /> <br />BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br />AMP SERVICE C21- ~~.. <br /> <br />D <br /> <br />W.R.E.C, <br /> <br />cg) <br />D <br /> <br />PLUMBING <br /> <br />ELECTRICAL <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />BUILDER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />z-/htfJ <br /> <br /> <br />Address <br /> <br /> <br />License # <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br /> <br />d~/C <br /> <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />2?-55 1 <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />License # <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br />MECHANICAL I <br />SIGNATURE , <br /> <br />Address I <br /> <br />OTHER I <br />SIGNATURE <br /> <br />I <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />License # <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 />DI~~~ti~~~': I . . . . . I . I I . I . I I . . . I I . . I . . . . . I I I I I . . I I . . I . I . . I . . . I . . I . I . . . . I I I . I I I I I . I . I I I . . I I I I . I I ~ . . . . . I I . I . I I . I . . . I I I . I . I I I I I . I I I . I I J I I I . I I I I I I I . I I I I <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 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 AlC Fences (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadwaysooneeds ROW <br />