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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 />Date Received <br /> <br /> <br />-/3-D] <br /> <br /> <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Owner's Name Cr rr 0'" 2 'fIYr It ( . $ <br />Owner's Address I ~ 3 $!: 8TH {' l' <br />Fee Simple Titleholder Namel <br /> <br />JOB ADDRESS <br /> <br />Fee Simple Titleholder Address I <br /> <br />11C :1-' <br />I <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />I <br /> <br />B <br />o <br />o <br />5 fG/II <br /> <br />{"I ~j.,/J I< () I LOT # I <br />PARCEL ID#I (3 -21{; - ~/ - {)08o- (){f)(j) - (JOI 0 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />D SIGN ~ MOVE D <br /> <br />D <br />D <br /> <br />fcl( US e/l/ <br /> <br />SUBDIVISION <br /> <br />BUILDING SIZE <br /> <br />B <br />D <br />D <br />I I /liS T/lLL <br />I <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br />FRAME <br /> <br />DEMOLISH <br /> <br />WORK PROPOSED <br /> <br />OTHER <br />STEEL <br /> <br />I <br />D <br /> <br />OTHER I <br /> <br />DESCRIPTION OF WORK <br /> <br />sa FOOTAGE 1 <br /> <br />HEIGHT I <br /> <br />1IIIfl'.'llmlll""'IIIIII"'lllllllllllr"IIII,I'11111111111111111111111111111'11111111"11111111"'1111111111111111111111111111111111111111111 <br /> <br />D <br /> <br />BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C, <br /> <br />& ,J!t1 <br /> <br />UTi C\~~~ <br /> <br />VALUATION OF MECHANICAL INSTALLATION if It ~":"l <br />1-:17 <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Dl~~~ii~~~': ' . , , , , , , , , , , , , , . , , , . . , , , , , , , , . , , . , , . . , , , , . , , , , , , , , , . , , , , , , , , , , . , , , , . , . , , , , , . . . , . . . , , , . , , , , . , , . , , , . , , , . , , , , . . . . , , , , . , . , , . . , , , , . . , , , , . . , . <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 /> <br />OVER THE COUNTER PERMITTING (Front of Application Only) <br />Reroofs Sewers Service Upgrades NC Fences (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />