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<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 /> <br />Owner's Name <br /> <br />0__(, Add~' I /J.D. (XN lf1.3 'hp~j.,; 1./5 1~/a 3$!!fJ1 <br /> <br />Fee Simple Titleholder Name I . <br /> <br /> <br />Fee Simple Titleholder Address I <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />JOB ADDRESS <br /> <br />I?':JJ.- N. 'ZfPh!yJ."'I~~~1 ~~~ ~ LOTI <br /> <br />I PARCEL 10# I J~ (p J- -D~J. 001 tJ <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />CJ NEW CONSTR 0 ADD/AL T D SIGN D MOVE D <br />D INSTALL D REPAIR <br />PROPOSED USE D SFR ~ COMM D <br />TYPE OF CONSTRUCTION D BLOCK D FRAME D <br /> <br />DESCRIPTION OF WORK ~ 'Re -root::" c{ cil.lf'I ~ <br /> <br />BUILDING SIZE ~ SQ FOOTAGE _ <br /> <br />1$ <br /> <br />1$ <br /> <br />1$ <br /> <br />1$ <br /> <br />D GAS ~ ROOFING <br />FINISHED FLOOR ELEVATIONS I <br /> <br />I srN:3I Sqi/5' <br />I <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />10- <br /> <br />~ <br /> <br />cJ. rtQ'7 $' <br />I <br /> <br />I <br />I <br />I <br />I <br />D <br />I <br /> <br />FLOOD ZONE AREA <br /> <br />BUILDING <br /> <br />DEMOLISH <br /> <br />OTHER I 'Rt.-~Ol"lF <br />STEEL D OTHER I <br /> <br />:~ <br /> <br />D ELECTRICAL <br />D PLUMBING <br />D MECHANICAL <br /> <br />AMP SERVICE <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />D <br /> <br />W.R.E.C, <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY D <br /> <br />~~~~~~RE I J012;.r dJt-- <br /> <br />Address 1'5q1/ U::'.301 J:.:>ade c..;~/{:,J <br /> <br />ELECTRICIAN I <br />SIGNATURE . <br /> <br />Address I <br /> <br />PLUMBER I <br />SIGNATURE <br /> <br />I <br /> <br />COMPANY <br />REGISTERED <br /> <br />aosa.3 <br /> <br />I <br /> <br />COMPANY <br />REGISTERED <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br />MECHANICAL I <br />SIGNATURE . <br /> <br />Address I <br /> <br />OTHER I <br />SIGNATURE <br /> <br />Address I <br /> <br />COMPANY <br />REGISTERED <br /> <br />COMPANY <br />REGISTERED <br /> <br />OTHER <br /> <br />DYES <br /> <br />DNO <br /> <br />r;niJN~~ ~~~E~Fil't0f'f <br />License # I CCc... 051 5 U ~ <br /> <br />YI N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> License # <br />Y I N FEE CURRENT <br /> License # <br /> <br />Y/N <br /> <br />Y/N <br /> <br />Y/N <br /> <br />Y/N <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 />RESIDENTIAL <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <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. (A/C 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 AlC <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br /> <br />Fences (PloUSurvey/Footage) <br />