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<br />I I <br />B 13-7'30-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br />Date Received <br /> <br /> <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Owner's Name < I <br /> <br />awn.e. Add.... I 3tf:< mwd()(j)#td ~ ,lr:rt!IsI~ <br /> <br />Fee Simple Titleholder Name _ <;;; artI52-- _ <br /> <br />Fee Simple Titleholder Address I Sa me... <br /> <br />! 3q5/~ !fbdd()uJ~ ~ ,~t!~ fL33S'1~ I LOT. II.;?? <br />I WleNlDtl)rx'd ~skJes I PARCELlD#1 )3- :l-?J-- ;;.)- {)J40 -()O{)!;{)-/:J7D <br />~ (OBTAINED FROM PROPERTY TAX NOTICE) <br />NEW CONSTR c::::=J ADD/ALT D SIGN 0 MOVE D DEMOLISH <br />INSTALL D REPAIR <br />PROPOSED USE D SFR D COMM D <br />TYPE OF CONSTRUCTION D BLOCK D FRAME D <br /> <br />DESCRIPTION OF WORK I 0/ () tSs ROD rr7 <br /> <br />1/~)(05t/ I SQFOOTAGEI ~sg zj; <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />OTHER I <br />STEEL 0 <br /> <br />OTHER I <br /> <br />HEIGHT I <br /> <br />BUILDING SIZE <br /> <br />~ 1111' ~~/LI~;~~ I111I1111 i~ I ~I~ I~;II:;"'" 1IIII j 1I1II ~~~~~~:~I~ I~~I ~~~~~ ~~~~~~~~~I~~IIIIIIIIII' 11'1'" III t, 1111111111111' 11I1 i <br /> <br />o ELECTRICAL 1$ I AMP SERVICE .p PROGRESS ENERGY D W.R.E.C. <br /> <br />D PLUMBING I' I ~d ()A~ , <br />./ AI'1ofL ~ <br />D MECHANICAL I' I VALUATION OF MECHANICAlINSTAlLATlON ~7dD -fv ~diI tin. <br /> <br />o GAS D ROOFING D SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I I FOOD ZONE AREA DYES ~O <br /> <br />BUILDER <br />SIGNATURE <br /> <br /> <br />I tv. ~ <br />COMPANY <br />REGISTERED N FEE CURRENT <br />33~ ~~~~f. <br />C~NY I /'Otu.r ku'.U <br /> <br />REGISTERED I Y I N I <br /> <br />FEE CURRENT <br /> <br />Address <br /> <br />~ECTRICIA <br />~:GNATURE <br /> <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br /> <br /> <br />License # I <br /> <br />1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111IIIIIIIilllllllllllll <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 />1111111111111111111I111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <br />Directions: <br />Fill out application completely. <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 Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same <br /> <br />OVER THE COUNTER PERMITTING (Front of Application Only) <br />Reroofs Sewers Service Upgrades NC <br /> <br />Address <br /> <br />License # <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br />111111111111111 <br />RESIDENTIAL <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Fences (PloUSurvey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />