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<br />813-780-0020 <br /> <br />Date Received <br /> <br />OWner's Name <br /> <br />Owner's Address <br /> <br />Fee SImple Tltlehc:llder Name I <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSEq <br /> <br />PROPOSED USE i <br /> <br />TYPE OF CONSTRpCTlON <br /> <br />DESCRIPTION OF rrORK <br /> <br />BUILDING SIZE I <br /> <br />~ <br />~ <br />~ <br />~ <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Ej <br />o <br />~ <br />I~ <br /> <br />1 <br />B <br />D <br />D <br /> <br />()u~ <br />PARCELIDt 1 02 <br /> <br /> <br />Fee SImple Tltleh~lder Address I <br /> <br />JOB ADDRESS. I (d150 R)O. ^,{'\ LUcccQ. <br />lD,,; +.J.wODd Pkc..se JC <br /> <br />NEW CONSTR <br />INSTALL <br /> <br />SFR <br />BLOCK <br /> <br />ADD/ALT <br />REPAIR <br /> <br />COMM <br />FRAME <br /> <br />u.",: .i <br /> <br />\OI.V^ t-\v"1eJ <br />SQFOOTAGE I K 12 ~ <br /> <br />1$ <br /> <br />1$ <br /> <br />1$ <br /> <br />1$ <br /> <br />D GAS JtJ <br />FINISHED FLOOR ~LEVATIONS I <br /> <br />BUILDIN <br /> <br />, <br /> <br />ELECTRlpAL <br /> <br />PLUMBI~ <br /> <br />MECHAN!CAL <br /> <br />BUILDER <br />SIGNATURE <br /> <br />Address <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />Address <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />Address <br /> <br />OTHER <br />SIGNATURE <br /> <br />Address <br /> <br />RESIDENTIAL <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br /> <br />I <br />I <br />I <br />I <br />D <br />1 <br /> <br />AMP SERVICE <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />PROGRESS ENERGY <br /> <br />o <br />o <br />o <br /> <br />LOT' 1317 <br /> <br />~ 2.~ .. ~ I ~ 00 I 0- 0:2. g 00 - {Jot 0 <br />(OBTAlNm FROII PROPERTY TAX NOnCE) <br />SIGN 0 MOVE 0 DEMOLISH <br /> <br />OTHER <br /> <br />STEEL <br /> <br /> <br />OTHER I <br /> <br />~ <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />~G_ <br />~a.~ _ <br />e.~ec\. '3u.b <br />~~\ CQ.\CS <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />~ <br /> <br />ROOFING <br /> <br />SPECIALTY 0 OTHER <br />FLOOD ZONE AREA DYES <br /> <br />~NO <br /> <br /> <br />i..!i.~4t'\ Lol'lsf.,. TI1 C <br />r Y / N I FEE CURR~NT I Y I N <br /> <br />License , I <br /> <br />So ~ "l-e", 1"\ LD"J'\ tor f <br />I Y/ N I FEE CURRENT I Y/N <br /> <br />license' I <br /> <br />COMPANY l.J.fI/'l'\ c::I.l'\ f!.eo1.'",~ <br />REGISTERED r Y I N I FEE CURRENt Y I N <br /> <br />License , I <br /> <br /> <br />~ltach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fonns <br />r-'!inlmum ten (10) working days after submittal date. Required onsile, Construction Plans, Sanitary Fadlllies & 1 dumpster <br />fA.ltach (3) sets of Building Plans; (1) set of Energy Fonns. <br />inimum ten (10) working days after submittal date. Required onslle, Construction Plans, Sanitary Fadlllies & 1 dumpster <br />" commerda' requirements must meet compliance. <br />ttach (2) sets of Engineered Plans. <br />"PROPERTY SURVEY reqUired for all NEW construction. <br /> <br />DIrectIons: <br />Fill out appllcalio completely. <br />Owner & Conlra or sign back of application, notarized <br />If over $2500, a otic. of Commencement Is requIred. (AlC upgrades over $5000) <br /> <br />Agent (for the co trador) or Power of Atlomey (for the owner) would be someone with notarized letter from owner authorizing same, <br /> <br />OVER THE COUNTE PERMITTING (Front of Application Only) <br />Reroofs ewers Service Upgrades AlC Fences (PloIISurveylFoolage) <br /> <br />Driveways-Not 0 er Counter if on public roadways..needs ROW <br />