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<br />I <br />813-710-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br />!(gPS <br /> <br />Date Received <br /> <br /> <br />~. ~~;",/'" 'j/'~. / ,,-' <br /> <br />1111...... <br /> <br />/ Owner's Name / <br /> <br />, Owner's Address <br /> <br />Fee Simple Titlehqlder Namel <br /> <br />fir <iT <br /> <br /> <br />s (d- t..;1 t; s - 9..t 1, ~ ,. I LOT # <br /> <br />I PARCELlD#I/4 - ;;;It - ;;)-1 - 60/0 - 03000 -0050 I <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />D ADD/ALT 0 SIGN 0 MOVE 0 <br />D REPAIR <br />D COMM c=J OTHER <br />D FRAME c=J STEEL D <br /> <br />f.Jf' .. JAC '1 Fe' n c(-" SI~ I j.. C::. <br /> <br />SQFOOTAGEI I <br /> <br />Fee Simple Titlehilder Address . <br /> <br />./ JOB ADDRESS I ././7 'i p <br /> <br />I I <br /> <br />WORK PROPOSE+ <br /> <br />9-'4 <br />I . <br /> <br />SUBDIVISION <br /> <br />PROPOSED USE I <br />TYPE OF CONSTR~CTION <br /> <br />./ DESCRIPTION OF <br /> <br />B <br />[Zj <br />c=J <br />I <br /> <br />NEW CONSTR <br />INSTALL <br />SFR/OIiI'I~ <br />BLOCK <br /> <br />BUILDING SIZE <br /> <br /> <br />DEMOLISH <br /> <br />OTHER I re /7/'e <br /> <br />HEIGHT I <br /> <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 />j/ 1$ /(POO \ 00 <br /> <br />1$ <br /> <br />1$ <br /> <br />1$ <br /> <br />D GAS. c=J <br />FINISHED FLOOR ~LEVATIONS I <br /> <br />o <br /> <br />D <br />D <br />o <br /> <br />ELECTRI~AL <br /> <br />PLUMBI~G <br /> <br />MECHA~ICAL <br /> <br />ROOFING <br /> <br />BUILDER / <br />SIGNATURE <br /> <br />Address <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />Address <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />Address <br /> <br />OTHER <br />SIGNATURE <br /> <br />Address <br /> <br />RESIDENTIAL <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />I <br />I <br />I <br />I <br />D <br />I <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D <br /> <br />D <br /> <br />AMP SERVICE <br /> <br />PROGRESS ENERGY <br /> <br />W.R.E.C. <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY c=J OTHER <br />FLOOD ZONE AREA DYES <br /> <br />DNO <br /> <br />/M/#t" CJ0Hev <br />I Y I N I FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br /> Y/N FEE CURRENT <br /> License # <br />COMPANY <br />REGISTERED Y/N FEE CURRENT <br /> License # <br /> YI N FEE CURRENT <br /> License # <br /> Y/N FEE CURRENT <br /> License # <br /> <br />Y/N <br /> <br />Y/N <br /> <br /> <br />Y/N <br /> <br />Y/N <br /> <br /> <br /> <br />Directions: <br />Fill out applicati n completely. <br />Owner & Contra tor sign back of application, notarized <br />If over $2500, a Notice of Commencement Is required. (AlC upgrades over $5000) <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 NC Fences (PloUSurvey/Footage) <br /> <br />Driveways-Not ver Counter if on public roadways..needs ROW <br />