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<br />, <br /> <br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br />Owner's Address <br /> <br />Fee Simple Tltlehold I' Name I <br /> <br /> <br />Mp.. \) E:. w €-Lc <br /> <br />l ~~ 6~. UP <br /> <br /> <br />r'k.\\<; <br /> <br />Owner Phone Number <br /> <br />').Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Date Received <br /> <br />Owner's Name <br /> <br />Fee Simple Tltlehold I' Address I <br /> <br />I S~ :3 u <br />I <br /> <br />PROPOSED USE <br />TYPE OF CONSTRU <br /> <br />NEW CONSTR <br />INSTALL <br /> <br />SFR <br /> <br />BLOCK <br /> <br />l7/'-5f- L4''''1rk.\l~ p( '335Yd- <br /> <br />I PARCELID#lll -~~''d-l -100 (O-O~OOO- 00'70 <br />(OBTAINED FROM PROPERlY TAX NOTICE) <br />D ADD/ALT D SIGN D MOVE D <br />~ REPAIR <br />~ COMM D OTHER I <br />c==J FRAME D STEEL D <br /> <br />~\c...c.~ 6" ( z..-c.. Fa ( S ( 2.. <- (_II ) <br /> <br />sa FOOTAGE I HEIGHT I <br /> <br />LOT # <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />BUILDING SIZE <br /> <br /> <br />B <br />I'l><.l <br />m <br />Iwv00~ <br /> <br />DEMOLISH <br /> <br />WORK PROPOSED <br /> <br />OTHER I <br /> <br />DESCRIPTION OF W <br /> <br />I <br />I <br />I <br />I <br />c==J <br />I <br /> <br />AMP SERVICE <br /> <br />c==J <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C, <br /> <br />~ BUILDING 1$ '7-.~ ~ 0 <br /> , <br />0 ELECTRIC L 1$ <br />0 PLUMBIN 1$ <br /> MECHANI~AL <br />0 1$ <br />0 GAS D ROOFING <br />FINISHED FLOOR E EVATIONS I <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />NOC- <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />OTHER <br />DYES <br /> <br />DNO <br /> <br />Address <br /> <br /> <br />I\'{lop~ fl~'J-JC\ <br />I (!PN I FEE CURRENT I Y / N I <br /> <br />License # (J---C 'SI Olr 0 <br /> <br />BUILDER <br />SIGNATURE <br /> <br />Address <br /> <br /> FEE CURRENT <br /> License # <br />Y/ N FEE CURRENT <br /> License # <br />Y / N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> License # <br /> <br /> <br />Address <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 />OTHER <br />SIGNATURE <br /> <br />Y/N <br /> <br />RESIDENTrAL <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 & ContI' tor sign back of application, notarized <br />If over $2500, Notice of Commencement Is required. (A1C 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 (Plot/Survey/Footage) <br /> <br />Driveways-Not vel' Counter if on public roadways..needs ROW <br />