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<br />30 l fl;1F;( <br /> <br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fa,-813-780-0021 <br /> <br />Fee Simple Titleholder Address <br /> <br /> <br />Owner Phone Number, <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Date Received <br /> <br />JOB ADDRESS <br /> <br />,;;t <br /> <br /> <br />o NEW CONSTR D ADD/AL T ~ SIGN <br />D INSTALL D REPAIR <br /> <br />o SFR D COMM 0 OTHER I <br /> <br />o BLOCK D FRAME 0 STEEL 0 <br /> <br />I w\iulowS ~laa~- SJ u"-.{-Or Sf U" <br /> <br /> <br />BUILDING SIZE I sa FOOTAGE I r HEIGHT I I <br />=:;:;=I*#~~;3~'I~;\;li;;!"=rnm;illirn~.!m!l;rnrni;ii!al:r;~~;#Mii!lh~~i;;~;mmit#l;;mffi~~mlt.;m~mrr;IU;;;ilii;;!lmmlU,~;gl~tu"Ir,~l#lljIUnt'~;~;m;lmllimQ~l#t1l:#liilimh'1;~UIU"W;m;;HmlGliEi~D!W'~mm;i;mllm~1 <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />DEMOLISH <br /> <br />PROPOSED USE <br /> <br />TYPE OF CONSTRUCTION <br /> <br />OTHER c::= <br /> <br />DESCRIPTION OF WORK <br /> <br />0 BUILDING 1$ ~ffK. 00 I VALUATION OF TOT AL CONSTRUCTION <br />0 ELECTRICAL 1$ , AMP SERVICE D PROGRESS ENERGY 0 WR.E,C, <br />0 PLUMBING 1$ I <br />0 MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION <br />0 GAS 0 ROOFING D SPECIALTY 0 OTHER ./- <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES ONO en, '::> v <br /> <br />=ii:;j~ii!:l~:5~i~i!~1;i;;iii~!g~~IE~il~ll;iE~!;t!i:ili~iR~!ll:i!!i~II!;~i;iiig~~iffi3!ijllii~iim:i!:!i;:iU~I!~llig~lmu~~mi,l:a:;mn~mi~mlGimll~II~;:llj~U=III~mmililm~b;~i;;mlHmImJClm=m;lmp.IiDi1~liG;cI~If~II~IM~!!:n~!C~llmll <br /> <br /> <br />'? <br />-:9Q <br />~>('-~ <br /> <br />BUILDER <br />SIGNATURE <br />Address <br />ELECTRICIAN COMPANY <br />SIGNATURE REGISTERED Y/ N FEE CURRENT I Y/N I <br />Add ress License # <br />PLUMBER COMPANY <br />SIGNATURE REGISTERED Y/ N FEE CURRENT ~ <br />Address License # <br />MECHANICAL I COMPANY <br />SIGNATURE REGISTERED Y/N FEE CURRENT L~,L~ <br />Add ress I License # <br />OTHER I COMPANY <br />SIGNATURE REGISTERED Y / N FEE CURRENT ~lLJ <br />Add ress I License # <br /> <br />i!m=arn!!E!!m!~!Si*;cI;!:e;j!;i!ffi~~im;;:w.lr:r:lll;;!S!;!!t;9U,,~l!!;m;!Ga!mmemm:m!mUm;m;j;i!ilbi!n*i!m!iU:";iim~mimntiH;i!Eil!Um!!iii!!W!f!S;;lmnl;a;!im!!ma!,.nUgeliHnlm!UEmmm;;l!;'UUi;mi!llP.;;miinlfiS;nr"jHi!U;:ii;!Il~i <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 />COMMERCIAL 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 />SIGN PERMIT Attach (2) sets of Engineered Plans. <br />....PROPERTY SURVEY required for all NEW construction. <br />~~iil~~;iim~;mt.miiir.im:m:im&;~lji;limiimjW.lIUiUlllmii;iDsm:llimlmll'UUllliliIIDiillUilm:lllitiililii:mUilUilfiiill:iWllm:mliilJiIlUmmlllllU:imlilUiiIIIDlluniilumUl:I!miGilljlmlll:Uillmiilfil;3iijlU:UiI!il~fil:l:mlliimiiUilliiiiiiUil:mimlllil <br />Directions: <br />Fill out application completely, <br />Owner & Contractor sign back of application, notarized <br />If over $2500, a Notice of Com men cement is required, (AlC upgrades over $5000) <br /> <br />Agent (for the contrac~or) or Power of Attorney (for the oYlller) would be someone with notarized letter from owner authorizing same <br /> <br />OVER THE COUNTER PERMITTING (Front of Application Only) <br />Reroofs Sewers Serv ice Upgrades AlC <br /> <br />Fences (Plol/Survey/Footage) <br /> <br />Driveways-Not oller Counter if on public roadways .needs ROW <br />