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<br />I I <br />813-780-0020 <br /> <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br />.. <br /> <br />Date ~eceived <br /> <br />Owner's Name <br /> <br />t0/~ <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Owner's Address <br /> <br />Fee Simple Titlehold~r Name I <br />I <br /> <br />Fee Simple Titleholdt' Add.... ~ <br /> <br />JOB ADDRESS ! LJ~ ~ <br /> <br />I I <br /> <br />~\\ <br /> <br />(Kl/~~t ) <br /> <br /> <br />PARCEL ID~I <br /> <br />(b\vc\ <br />I <br /> <br />D NEW CONSTR I"'ZD ADD/AL T <br />D INSTALL D REPAIR <br />DSFR D <br />D BLOCK D <br /> <br />1.Irl-\ef\~ DR ~('('\ Dc1e \ <br /> <br />SQ FOOTAGE I <br /> <br />LOT # <br /> <br />SUBDIVISION <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br /> <br />DESCRIPTION OF W RK <br /> <br /> <br />COMM <br />FRAME <br /> <br />D SIGN D MOVE D DEMOLISH <br />D OTHER I <br />D STEEL D OTHER I <br /> HEIGHT I <br /> <br />WORK PROPOSED <br /> <br />PROPOSED USE <br />TYPE OF CONSTRU <br /> <br />o <br /> <br />BUILDING SIZE <br /> <br />1$ <br /> <br />o ELECTRIC L 1$ <br /> <br />o PLUMBING 1$ <br /> <br />o MECHANI9AL 1$ <br /> <br />o GAS D <br />FINISHED FLOOR EL VATIONS 1 <br /> <br />ROOFING <br /> <br />I <br />1 <br />1 <br />1 <br />D <br />I <br /> <br />D <br /> <br />j j~t~ ~l hev"'/' (I) J~ ~ F 1l1''?55 <br /> <br />d--(<6/rIt - PNL-Reu\e.......) - p.,ny Q.hQJY\~ w.f('~ <br />VALUATION OF MECHANICAL INSTALLATION f"\s2...u)Q..t'- Ku..<) WI \1 ~ <br />C\ ouJolil d <br /> <br />PROGRESS ENERGY <br /> <br />BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />50) COO' ~ <br />D <br /> <br />w.R.E.C. <br /> <br />AMP SERVICE <br /> <br />Address <br /> <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />OTHER <br />DYES <br /> <br />DNO <br /> <br />BUILDER <br />SIGNATURE <br /> <br />;~~~::e~ Y /~ F~~~--<"' ft~ q~., vz-;SJ <br /> <br /> <br />License # I I <br /> <br />. I () ~ 1;~:r:HY-> I Rc~\~ ~)e~~c- I <br />~ ~--- RED I "Y7 N I FEE CURRENT Y / N <br /> <br />(ELECTRICIAN' <br />,_~~T':l~~ <br /> <br />Address <br /> <br />License # <br /> <br />;V~UMBER <br />SIGNA TURE ~. <br /> <br />COMPANY l::v.....,se-r VI LLmb I ~/~ <br />REGISTERED I Y / N]' FEE CURRENT <br /> <br />Address <br /> <br />License # <br /> <br />I Y /N I <br />ICFC.OJ1" L( <br /> <br />MECHANICAL <br />SIGNA TURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/ N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />OTHER <br />SIGNA TURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/ N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />RESIDENTIAL <br /> <br />ttach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms <br />inimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster <br />ttach (3) sets of Building Plans; (1) set of Energy Forms. <br />inimum ten (10) working days after submittal date. Required onsite. Construction Plans, Sanitary Facilities & 1 dumpster <br />II commercial requirements must meet compliance. <br />ttach (2) sets of Engineered Plans. <br />**PROPERTY SURVEY required for all NEW construction. <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Directions: <br />Fill out applicatio completely. <br />Owner & Contra r sign back of application, notarized <br />.~ -"or $2500, a otice of Commencement is required. (A/C upgrades over $5000) <br /> <br />'r the co tractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same <br /> <br />UNTE PERrllllTTING (Front of Application Only) <br />ewers Service Upgrades AlC <br /> <br />Fences (Plot/Survey/Footage) <br /> <br />1t oter Counter if on puL"c roadways..needs ROW <br />