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<br />Fax-813-780-0021 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br /> <br />Date Received <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Owner's Name <br /> <br />I <br />l'fq'tl..J <br />I <br /> <br />~l j\^ U {g Pi 33S-~ (3. LOT # t6 <br /> <br />I PARCELlD#1 jlf-/lJ -dJ _()OIO-oo~t!>&A..OI'lO <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />[==:J ADD/ALT [X] SIGN D MOVE D <br />D REPAIR <br />D COMM D <br />00 FRAME D <br /> <br />Sf <br /> <br />I gT" <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />E3 <br />D <br />00 BLOCK <br />I ~c.(' ~'<l <br />I 3Q'.,. d.Cf I I <br /> <br />DEMOLISH <br /> <br />NEW CONSTR <br />INSTALL <br /> <br />WORK PROPOSE <br /> <br /> <br />ISc~e.e."'e1} &>o~'t- t1/Ul.t>6IlT I <br />D OTHER I I <br /> <br />I <br /> <br />OTHER <br />STEEL <br /> <br />SFR <br /> <br />PROPOSED USE <br />TYPE OF CONSTR <br /> <br />Qnn <br />SQ FOOTAGE I <br /> <br />DESCRIPTION OF <br /> <br />HEIGHT I <br /> <br />S-I <br /> <br />Or 0'" <br /> <br />BUILDING SIZE <br /> <br />D BUILDIN 1$ () 5 () (!) I VALUATION OF TOTAL CONSTRUCTION <br /> I 'f~tcO <br />D 1$ I AMP SERVICE D PROGRESS ENERGY D W.R.E.C, <br />D 1$ I , .,--1 -'~ <br />0 MECHAN CAL 1$ I VALUATION OF MECHANICAL INSTALLATION <br />0 GAS D ROOFING D SPECIALTY D OTHER <br />FINISHED FLOOR LEVATIONS I I FLOOD ZONE AREA DYES WNO <br /> <br /> <br /> <br />(,.j~ lM e <br />I Y I N I <br /> <br />CJ W p~'::=- (L <br />FEE CURRENT I Y / N <br /> <br />BUILDER <br />SIGNATURE <br /> <br />e,. <br /> <br />Address <br /> <br />License # <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y / N FEE CURRENT <br /> License # <br />Y I N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> License # <br />Y I N FEE CURRENT <br /> License # <br /> <br />Y/N <br /> <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 />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br /> <br /> <br />RESIDENTIAL <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 />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Directions: <br />Fill out applicati n completely. <br />Owner & Contra tor sign back of application, notarized <br />If over $2500, Notice of Commencement Is required. (AlC upgrades over $50~0). <br /> <br />Agent (for the c 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 AlC Fences (Plot/Survey/Footage) <br />} <br /> <br />Driveways-Not ver Counter if on public roadways..needs ROW <br />