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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 n rJ <br /> <br />O_e', Add.... I Po. f>ox I'D13 U ~...I~ If> f ~~~ <br /> <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 />JO~~. 1 €{)hlJrk\\SICI s~~.aJ <br /> <br /> <br />I PARCEL 10# III ~d.l D-61.1 ~O')I () - ("')d.~O() - N<6 0 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br /> <br />f7I ADD/AL T 0 SIGN D MOVE D <br />CJ REPAIR <br /> <br />ca COMM 0 <br /> <br />D FRAME D <br /> <br /> <br />Qr-f-u,,'f' of' n~] <br /> <br /> <br />SQ FOOTAGE I J <br /> <br />JOB ADDRESS <br /> <br />I c5gt/bl5~~ <br />I <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />B <br />D <br />D <br />I -"'*' \(~t <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />BLOCK <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />LOT # <br /> <br />DEMOLISH <br /> <br />OTHER I r~e-_ ~ao F <br />STEEL D OTHER I <br /> <br />:lO'5~~ <br /> <br />HEIGHT I <br /> <br />~ <br /> <br />I <br />I <br />I <br />I <br />D <br />I <br /> <br />I j(~/2.~ I <br />I lSq, I US 30\ ~e c.:.~,C\ 33~:; <br />I <br /> <br />1$ ~.o,OI. JLI <br /> <br />D ELECTRICAL 1$ <br /> <br />D PLUMBING 1$ <br /> <br />o MECHANICAL 1$ <br /> <br />D GAS I7T <br />FINISHED FLOOR ELEVATIONS I <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />BUILDING <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />PROGRESS ENERGY <br /> <br />VALUATION OF MECHANICAL INSTALLATION <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 />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />ROOFING <br /> <br />BUILDER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br />ELECTRICIAN I <br />SIGNA TURE . <br /> <br />Address I <br /> <br />PLUMBER I <br />SIGNATURE <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 />RESIDENTIAL <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />OTHER <br />DYES <br /> <br />DNO <br /> <br />I ,1\\ \ \:x:tr-- (\on~\ruLh1TI Tne. . <br />I (j) N I FEE CURRENT I( ~N I <br /> <br />License # I c c.e. [; 51 S'~ <br /> <br />Y I N FEE CURRENT <br /> License # <br />Y I 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 />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 A1C <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br /> <br />Fences (PloUSurvey/Footage) <br />