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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-7so.0021 <br /> <br />Date Received <br /> <br /> <br />f~&f1 <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Name I <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />OWner Phone Number I <br /> <br />Fee Simple Titleholder Add,.. I <br /> <br />,slOB <br /> <br />It~ St. <br /> <br />JOB ADDRESS <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />~ <br />o <br />neclc: <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br /> <br />BLOCK <br /> <br />I <br />E3 <br /> <br />DEMOLISH <br /> <br />SUBDIVISION <br /> <br />WORK PROPOseD <br /> <br />BUILDING SIZE <br /> <br />I <br />D OTHER I <br /> <br />2"f$X/S <br />HElGKT I / t ind.l5 <br /> <br />DESCRIPTlON OF WORK <br /> <br />o BUILDING 1$ <br />D ELECTRICAL 1$ <br />D PLUMBING 1$ <br />D MECHANICAL 1$ <br /> <br />DGAS 0 <br />FINISHED FLOOR B.EVATIONS I <br /> <br />ROOFING <br /> <br />I <br />I <br />I <br />I <br />CJ <br />I <br /> <br />AMP SERVICE <br /> <br />CJ <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />w.R.E.C, <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />~- ,.... <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPEaALTY 0 <br />FLOOD ZONE AREA <br /> <br />OTHER <br />DyES <br /> <br />DNO <br /> <br />~~ <br /> <br />JI~~ <br />L:!L!:!...J FEE CURRENT Y I N <br />License # I <br /> <br /> <br />~FEECURRENT <br /> <br />I <br /> <br />152..5~ <br /> <br />BUILDER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />L...Y!!:LJ <br /> <br />Address <br /> <br />~~ <br /> <br />COMPANY <br />REGISTERED <br /> <br />License # <br /> <br />J,&rru ~Jft.6 <br />L...1.L.!!..J FEE CURRENT I..iZ&.J <br />License # I <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />Address <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED L.:!L..!i..J FEE CURRENT L:!.L!:LJ <br /> License # <br />COMPANY <br />REGISTERED L.r.!...!:!..J FEE CURRENT L...Y!!:LJ <br /> License # <br /> <br />Address <br /> <br />OTHER <br />SIGNATURE <br /> <br />Address <br /> <br />RESIDENTIAL <br /> <br />A1Iach (2) Plot Plans; (2) sets of Building PlanS; (1) set of Energy Forms <br />Minimum ten (10) 'M>I'king days after submillal date, Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster <br />Allach (3) seIs of Building Plans; (1) set of Energy Fomls. <br />Minimum ten (10) 'M>I'king days after submlllal date, Required onsilB, Construction Plans, Sanitary Facilities & 1 dumpster <br />An conmercisl requirements must nee! COIJ1lliance. <br />A1Iach (2) seIs of Engi.-red Plans. <br />-PROPERTY SURVEY required for aN NEW construction, <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Directions: <br />FiN out application complelely. <br />Owner & Contraclor sign back of application, noIarized <br />If over S25OO, a Notice of Commencement Is required, (AIC upgrades OWl/' $llOOlI1 <br /> <br />- Agent (for the contractor) or ~r of AIlDmey (for the owner) IMlUld be someone with notarized I<<mr from owner authorizing same <br /> <br />OVER THE COUNTER PERMITTING (Front of Application Only) <br />RelOOts Sewers Service Upgrades AIC Fences (plotJSurveylFoclage) <br /> <br />Driveways-Not CHer Counter Won public roa~ys.,needs ROW <br />