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<br />813-780-0020 <br /> <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-B13-780-0021 <br /> <br />Date J:{eceived <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />LOT # <br /> <br />SUBDIVISION <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />DEMOLISH <br /> <br />BUILDING SIZE <br /> <br />~ <br />D <br />I / All)" 7?r1-L <br />I <br /> <br />~ to (3 I <br />OTHER I I <br />cJ1' -'I~-, 41 ~ <br /> <br />WORK PROPOSED <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />DESCRIPTION OF WORK <br /> <br />D <br /> <br /> <br />D <br /> <br /> <br />D PLUMBING 1$ I <br /> <br /> <br />D MECHANICAL 1$ I <br /> <br /> <br />D GAS D ROOFING D SPECIALTY D OTHER <br /> <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII!IIIIIIIII11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <br /> <br />BUILDER ! 11. .. ~ A /J I COMPANY ~bUJ-1lf</\ I <br />SIGNATURE ~_ f'rL fVl ~ REGISTERED Y I N FEE CURRENT Y I N <br /> <br />Address License # I I <br /> <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />ELECTRICAL <br /> <br /> <br />. ~LUATION OF TOTAL CONSTRUCTION <br />1;)' AMP SERVICE D PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />BUILDING <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />ELECTRICIAN ~ 112 C-I/ f1. <br />SIGNATURE _ Jl <7~ . . fYl ~4..il\'.l.A..-- <br />Address __ <br />PLUMBER I <br />SIGNATURE <br />I <br /> <br />COMPANY <br />REGISTERED <br /> <br />~~~N{ ~IN <br /> <br /> <br />License # I <br /> <br />COMPANY <br />REGISTERED <br /> <br />YI N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />MECHANICAL I <br />SIGNATURE <br /> <br />Address I <br /> <br />OTHER I <br />SIGNATURE <br /> <br />I <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />YI N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />DI~~~ii~~~': . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . , . . I I <br /> <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 Ale Fences (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />