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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application '1' 1f'"T v..... <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br />Date Received <br /> <br /> <br />:{f- loct 213 <br /> <br />. <br />OWner's Name <br /> <br />OWner Phone Number <br /> <br />OWner Phone Number I <br /> <br />OWner Phone Number I <br /> <br />JOB ADDRESS <br /> <br />LOT # <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />ADD/ALT <br />REPAIR <br /> <br />COMM <br />FRAME <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />DEMOLISH <br /> <br />BUILDING SIZE <br /> <br />E3 NEW CONSTR r;;:zo <br />INSTALL D <br />D SFR D <br />D BLOCK D <br /> <br />1.Ir\~:oR ~mnde\ <br /> <br />SQ FOOTAGE I <br /> <br />D <br />D <br />D <br /> <br />OTHER I <br />STEEL D <br /> <br />OTHER I <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />DESCRIPTION OF WORK <br /> <br />HEIGHT I <br /> <br />D BUILDING 1$ <br />D ELECTRICAL 1$ <br />0 PLUMBING 1$ <br />0 MECHANICAL 1$ <br />D GAS D ROOFING <br />FINISHED FLOOR ELEVATI NS I <br />BUILDER <br />SIGNATURE <br /> <br />I <br />I <br />I <br />I <br />D <br />I <br /> <br />VALUATION OF TOTAL CONSTRUCTION 50) roo' v..:::> <br /> <br />AMP SERVICE D PROGRESS ENERGY 0 W.R.E.C. <br /> <br />j 6-l-~ ~ IlM-V',t. O)(!~ ~ FM.~ <br />.)..f<6fb',- PNl--(2.eule.......)- My Q.hcl.M~ wJ~ <br />VALUATION OF MECHANICALlNSTALLATION ~oWo~d Ra..O w, \1 ~ <br /> <br />SPECIALTY D OTHER <br />FLOOD ZONE AREA DYES <br /> <br />ONO <br /> <br />Address <br /> <br /> <br />~ buo.&lP---r ~U'n"V2.'S~ <br />Y / N FEE CURRENT Y / N <br /> <br />License # <br /> <br />rEL~~TR.. ICI;N <br />~~; <br /> <br />0Q~(L <br />I FEE CURRENT L-r..!.!!.J <br /> <br />~UMBER <br />SIGNATURE <br /> <br />License # <br /> <br />1::U\.I5EU" "VI u-\'Ylb I ;,c::; <br />I Y / N I FEE CURRENf L-r..!.!!.J <br /> <br />License # <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />Y/ N <br /> <br />FEE CURRENT <br /> <br />L-r..!.!!.J <br /> <br />License # <br /> <br />OTHER <br />SIGNATURE <br /> <br />Y/ N <br /> <br />FEE CURRENT <br /> <br />L-r..!.!!.J <br /> <br />Address <br /> <br /> <br />License # <br /> <br />RESIDENTIAL <br /> <br />) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms <br />ten (10) working days after submittal date. Required ons~e, Construction Plans, San~ary Facil~ies & 1 dumpster <br />) sets of Building Plans; (1) set of Energy Forms. <br />ten (10) working days after submittal date. Required ons~e, Construction Plans, Sanitary Facilities & 1 dumpster <br />reial requirements must meet compliance. <br />Attach ) sets of Engineered Plans. <br />-.PR PERTY SURVEY required for all NEW construction. <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Directions: <br />Fill out application comp tely. <br />OWner & Contractor sig back of application, notarized <br />If over $2500, a Notice f Commencement Is required;. (AlC upgrades over $5000) <br /> <br />Agent (for the contractor or Power of Attorney (for the owner) would be someone w~h notarized letter from owner authorizing same <br /> <br />OVER THE COUNTER PERt. ITTING (Front of Application Only) <br />Reroofs Sewers Service Upgrades AlC Fences (PlotlSurveylFootage) <br /> <br />....r;veways-Not over Co nter if on puL';c roadways..needs ROW <br />