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<br />I <br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br /> <br />Date Rec:lived .., <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br />Fee Simple Titleh~lder Namel <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />I <br />Fee Simple Titlehtlder Address <br /> <br />JOB ADDRESS 'I' I '3'81 LO <br /> <br />SUBDIVISION <br />I <br />WORK PROPOS+ <br /> <br />S--r-nf\0e <br /> <br />I <br />B <br />D <br />D <br />L-et>v cf ~jV,- i <br /> <br />SQ FOOTAGE I <br /> <br />PROPOSED USE i <br />TYPE OF CONST~UCTION <br /> <br />DESCRIPTION O~ WORK <br />I <br />BUILDING SIZE i I <br /> <br />B <br />D <br />D <br />I <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />PARCELlD#1 \ \- 6H",-'d\ - 6(:)\ 0- 1/ (CO - 00\ 0 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />D <br /> <br />D <br />D <br /> <br />C l1u"vV-r- <br /> <br />I ' HEIGHT I <br /> <br />AD DIAL T <br />REPAIR <br />COMM <br />FRAME <br /> <br />LOT f# <br /> <br />DEMOLISH <br /> <br />OTHER <br />STEEL <br /> <br />I <br />D <br />8~ <br /> <br />OTHER I <br /> <br />BUILDI G <br /> <br />D <br /> <br />I <br />I <br />I <br />I <br />D <br />I <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />PROGRESS ENERGY <br /> <br />, <br /> <br />ELECT~ICAL <br /> <br />PLUMBI~G <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />o <br /> <br />W.R.E.C, <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />cfC}7C;7JlJ <br />ROOFING <br /> <br /> <br /> <br />BUILDER <br />SIGNATURE <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />OTHER <br />SIGNATURE <br /> <br />RESIDENTIAL <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />SPECIALTY D OTHER <br />FLOOD ZONE AREA DYES <br /> <br /> <br /> <br />ONO <br /> <br /> <br /> <br />111111111111111111 <br />Directions: <br />Fill out appli .on completely. <br />Owner & Cont actor sign back of application, notarized <br />If over $2500, a Notice of Commencement Is required. (AlC upgrades over $5000) <br /> <br />Agent (for the ontractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same <br /> <br />OVER THE COUN ER PERMITTING (Front of Application Only) <br />Reroofs Sewers Service Upgrades A1C <br /> <br /> Y/N FEE CURRENT Y/N <br /> License # <br />COMPANY <br />REGISTERED Y/N FEE CURRENT Y/N <br /> License # <br /> YI N FEE CURRENT Y/N <br /> License # <br /> ~;.J~ <-'<-0/ L C4-tr.J /-+;'~c/ <br /> Y I N A" FEE CURRENT I Y/N I <br /> , <br />v~,.(J hO License # I / B..J- <br />COMPANY <br />REGISTERED Y/N FEE CURRENT Y/N <br /> License # <br /> <br />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 />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 />Attach (2) sets of Engineered Plans. <br />""PROPERTY SURVEY required for all NEW construction. <br />11111111111111111111111111111111111111111111111I111111111111111111111111111111111I11111111111111111111111111111111111I111111111 <br /> <br />Driveways-N t over Counter if on public roadways..needs ROW <br /> <br />Fences (PloUSurvey/Footage) <br />