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<br />l?~1'1' <br />P <br /> <br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br />Date Received <br /> <br /> <br />l "\(.'>1(.'" t.+r. O.::r~ "M1 <br /> <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Owner's Name <br /> <br />",j..." .,,- 11.1~ <br /> <br />Fel Simple Titleholder Name <br /> <br />I <br />JOF ADDRESS <br />I <br /> <br />Fe, Simple Titleholder Address I <br /> <br />!.9a3d rT\l \ ~\~p"~\"~\'\\~ ITI ~~'1:L I LOT # I <br />I~ ~ ~ I PARCEL 10# I \\ -~l. -~ \ - rL:io -~"C1S-l\ d.SLi <br />(OBTAINEO FROM PROPERTY TAX NOTICE) <br />D NEW CONSTR ~ ADD/AL T D SIGN 0 MOVE D <br />o INSTALL D REPAIR <br />D SFR 0 COMM D OTHER <br />D BLOCK 0 FRAME D STEEL 0 <br /> <br />1f<\u\i"t\'oA ~\+\)mb.h RM-f' ()\)~\ <br /> <br />I I "'\1'\ I <br />SQ FOOTAGE HEIGHT ~ <br /> <br /> <br />DEMOLISH <br /> <br />OTHER I <br /> <br /> BUILDING 1$ ~5 ,\15 <br />q <br />ELECTRICAl 1$ <br />d PLUMBING 1$ <br />d MECHANICAL 1$ <br /> GAS P<f ROOFING <br />FIN SHED FLOOR ELEVATIONS I <br /> <br /> <br />I <br />I ~ ~ ;\l S~(j <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />PROGRESS ENERGY <br /> <br />o <br /> <br />w.R.E.C. <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />.J ~/ <br />NO <br /> <br />o <br />I <br /> <br />SPECIALTY D OTHER <br />FLOOD ZONE AREA DYES <br /> <br />ONO <br /> <br />BUI DER <br />SIG A TURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />~ <br /> <br />FEE CURRENT <br /> <br />~ <br /> <br />Add ress <br /> <br />license # <br /> <br /> <br />COMPANY <br />REGISTERED <br /> <br />~ <br /> <br />FEE CURRENT <br /> <br />~ <br /> <br />license # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />~ <br /> <br />license # <br /> <br />~ <br /> <br />FEE CURRENT <br /> <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 />ions: <br />ill out application completely. <br />wner & Contractor sign back of application, notarized <br />over $2500, a Notice of Commencement is required. (AlC upgrades over $5000) <br /> <br />gent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same <br /> <br />OVE THE COUNTER PERMlmNG (Front of Application Only) <br />eroofs Sewers Service Upgrades AlC <br /> <br />Fences (PloUSurvey/Footage) <br /> <br />riveways-Not over Counter if on public roadways..needs ROW <br />