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<br />813-7~0-r020 <br />I <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br />Date Received <br /> <br /> <br />QAJCO (" Plct~ <br />15~~ Sha.d Rd. .~,k 7J:>O- ~ <br /> <br />, <br /> <br />Ider Namel <br /> <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Owner's Name <br /> <br />JOB ADDRESS <br /> <br />I <br />13'l~50 <br />I <br /> <br />Z-p\.-\l1/hJk I R- .~~ I <br />I . . \tJ[) <br />PARCELID# 'D -d~' d\ -DOc)'o.bDODO -0 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />LOT f# <br /> <br />SUBDIVISION <br /> <br />WORK PROPOS <br /> <br />DEMOLISH <br /> <br />PROPOSED USE <br />TYPE OF CONST UCTION <br /> <br />DESCRIPTION 0 <br /> <br /> <br />BUILDI <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />BUILDING SIZE <br /> <br />1$ <br /> <br />1$ I <br />. 1\90 <br />1$ <br /> <br />1$ <br /> <br />c=J GAS c=J <br />FINISHED FLOOR ELEVATIONS I <br /> <br />D <br />OCJ <br /> <br />ROOFING <br /> <br />I <br />I <br />I <br />I <br />D <br />I <br /> <br />AMP SERVICE 100 <br /> <br />m <br /> <br />PROGRESS ENERGY <br /> <br />o <br /> <br />W.R.E.C, <br /> <br />D <br /> <br />D <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY D OTHER <br /> <br />FLOOD ZONE AREA DYES ONO <br /> <br /> <br />BUILDER <br />SIGNATURE <br /> <br /> <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />COMPANY rJ-?e-e~ ELe~(AA 'TNc. <br />REGISTERED 'I ,. Y I N I FEE CURRENT I Y I N I <br /> <br />,hdG f\.., 3~S39'O~ License # 1R-4 q <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> License # <br />YI N FEE CURRENT <br /> License # <br /> <br />Y/N <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />OTHER <br />SIGNATURE <br /> <br /> <br />Y/N <br /> <br />COMMERCIAL <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 /> <br />SIGN PERMIT <br /> <br />Directions: <br />Fill out applicat on completely. <br />Owner & Contr ctor sign back of application, notarized <br />If over $2500, Notice of Commencement Is required. (A/C upgrades over $5000) <br /> <br />Agent (for the ntractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same <br /> <br />OVER THE COUNT R PERMITTING (Front of Application Only) <br />Reroofs Sewers Service Upgrades A/C Fences (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..rieeds ROW <br />