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<br />Date Received <br /> <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br />111111..11 <br /> <br />a./2 <br />W. E, /II.e 1.- S"tJ AI <br />I S-~ ~r gal- -r I? A-1Yt <br /> <br /> <br />Dft. <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />/ Owner's Name <br /> <br />/ Owner's Address <br /> <br />Fee Simple Titleh Ider Namel <br /> <br />Fee Simple Titleh Ider Address <br /> <br />/ JOB ADDRESS S?JJ /3 e '- I /,? A-Ivt iJ 12... LOT # <br /> SUBDIVISION I PARCELlD# I to) -d..~ - d \ - 0030 - 00500 - 0 \ \ 0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSE B NEW CONSTR B ADD/ALT D SIGN D MOVE D DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE D SFR D COMM D OTHER I <br /> TYPE OF CONSTR D BLOCK D FRAME D STEEL D OTHER I <br />/ DESCRIPTION OF ORK I FE-weE:. C fI~1 Pol L / /JI A-- <br /> BUILDING SIZE I SQ FOOTAGE I 1/' I HEIGHT I <br /> <br /> <br />D BUILDIN <br /> <br />D AL <br /> <br />D <br /> <br />D MECHAN CAL <br /> <br />D GAS <br />FINISHED FLOOR <br /> <br /> <br />/ 1$ <br />1$ <br />1$ <br />1$ <br />D <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />ROOFING <br /> <br />I <br />I <br />I <br />I <br />D <br />I <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />Address <br /> <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />OTHER <br />DYES <br /> <br />DNO <br /> <br /> <br />RESIDENTIAL <br /> <br /> <br /> <br /> Y/ N FEE CURRENT <br /> License # <br /> Y/N FEE CURRENT <br /> License # <br />COMPANY <br />REGISTERED Y/N FEE CURRENT <br /> License # <br /> Y/N FEE CURRENT <br /> License # <br /> <br />Y/N <br /> <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />BUILDER <br />/ SIGNATURE <br /> <br />11:~ F~Y/N <br /> <br /> <br />License # I <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />Y/N <br /> <br />Address <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />Y/N <br /> <br />Address <br /> <br />OTHER <br />SIGNATURE <br /> <br />Y/N <br /> <br />Address <br /> <br /> <br />COMMERCIAL <br /> <br />ttach (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 />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 />SIGN PERMIT <br /> <br />Directions: <br />Fill out applicati completely. <br />Owner & Contra tor sign back of application, notarized <br />If over $2500, a otice of Commencement is required. (AlC upgrades over $5000) <br /> <br />Agent (for the co tractor) or Power of Attorney (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 Service Upgrades AlC Fences (Plot/Survey/Footage) <br /> <br />Driveways-Not er Counter if on public roadways..needs ROW <br />