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<br />813-780-0020 <br /> <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br />bU /,.J II fi l.,- <br /> <br />E. I /4 #vft a I:.. r/ J <br /> <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />e Simple Titleholder Address I <br /> <br />I J7Y II <br />I <br /> <br />NEW CONSTR <br />INSTALL <br /> <br />SFR <br />BLOCK <br /> <br />?I l.w-lt <br /> <br />I <br /> <br />E3 ADD/ALT 0 <br />REPAIR <br />D COMM 0 <br />D FRAME 0 <br /> <br />~J ~ S,. of', i<V k. J.&I',S <br /> <br />SQ FOOTAGE I I <br /> <br />~ l,..1/p <br /> <br />LOT # <br /> <br />PARCEL 10# I <br /> <br />P OPOSED USE <br />T PE OF CONSTRUCTION <br /> <br />B <br />o <br />o <br />I <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE 0 DEMOLISH <br /> <br />OTHER <br /> <br />STEEL <br /> <br />I <br />D <br /> <br />OTHER I <br /> <br />o SCRIPTION OF WORK <br /> <br />B ILDING SIZE <br /> <br />HEIGHT <br /> <br /> <br />1$ <br />1$ <br />1$ <br />1$ <br /> <br />GAS 0 <br />ISHED FLOOR ELEVATIONS I <br /> <br />ELECTRICAL <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 />8''' CS r!td <br />j <br />D <br /> <br /> <br />frj()~q<fL-- <br />,vlJt- f20 <br /> <br />WR.E C <br /> <br />BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />PLUMBING <br /> <br />MECHANICAL <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY 0 <br />FLOOD ZONE AREA <br /> <br />OTHER <br />DYES <br /> <br />DNO <br /> <br />COMPANY <br />REGISTERED <br /> <br />~ <br /> <br />FEE CURRENT <br /> <br />L...Y.L!:U <br /> <br />Address <br /> <br />License # <br /> <br />E ECTRICIAN <br />SI NATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />~ <br /> <br />FEE CURRENT <br /> <br />L...Y.L!:U <br /> <br />Address <br /> <br />License # <br /> <br />P UMBER <br />S NATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />~ <br /> <br />FEE CURRENT <br /> <br />L...Y.L!:U <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />~ <br /> <br />FEE CURRENT <br /> <br />L...Y.L!:U <br /> <br />Addnass <br /> <br /> <br />Address <br /> <br />IDENTIAL <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 />SI N PERMIT <br /> <br />Di ctions: <br />Fill out application corTl'letely <br />Owner & Contractor sign back of application, notarized <br />If over $2500, a Notice of Commencement is required. (AlC upgrades over $5000) <br /> <br />Agent (for the contractor) or Po-.ver of Attorney (for the O"M"ler) \NOuld be someone with notarized letter from O'M'ler authorizing same <br /> <br />o THE COUNTER PERMITTING (Front of Application Only) <br />Reroofs Sewers Service Upgrades AJC <br /> <br />Fences (P1ot1Surveyn=ootage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />