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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 />Jf)l~ 1...{~h \C'130~'l <br /> <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br /> <br />Owner Phone Number I <br /> <br />Owner's Name <br /> <br />a_e', Addre.. I V,D1=X <br /> <br />Fee Simple Titleholder Name <br /> <br /> <br />Fee Simple Titleholder Address I <br /> <br />:'> 'if33'" I. o,,?:.o,<./Q.. 1 L/J,,, I~" f 1R1~)~ Ik sCI ~ ~ LOTI I <br />I PARCEL 10# \ \- ~Lo-~ -0 DD- Od..O() <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />~ ADD/ALT D SIGN D MOVE D <br />D REPAIR <br />Q- COMM D <br />D FRAME D <br /> <br />~f -/LOa c f 7) uple:i <br /> <br />SQ FOOTAGE I I <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />DEMOLISH <br /> <br />WORK PROPOSED <br /> <br />DESCRIPTION OF WORK <br /> <br />OTHER I ~flf -rt.ocf" <br />STEEL D OTHER I <br /> <br />15 :::Z.D <br /> <br />HEIGHT I <br /> <br />BUILDING SIZE <br /> <br />~ BUILDING <br /> <br />ROOFING <br /> <br />I <br />I <br />I <br />I <br />D <br />I <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />1$ <br /> <br />D ELECTRICAL 1$ <br /> <br />D PLUMBING 1$ <br />D MECHANICAL 1$ <br /> <br />D GAS ~ <br />FINISHED FLOOR ELEVATIONS I <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIAL TV D <br />FLOOD ZONE AREA <br /> <br />OTHER <br />DYES <br /> <br />DNO <br /> <br />BUILDER <br />SIGNA TURE <br /> <br /> <br /> COMPANY ~~ ~('.I-r,? lit- r.. <br /> REGISTERED FEE CURRENT .:J.. N I <br />j.," J 0. .335".:> License # I cre~()515u :h <br /> COMPANY <br /> REGISTERED Y/N FEE CURRENT Y/N <br /> License # <br /> COMPANY <br /> REGISTERED YI N FEE CURRENT Y/N <br /> License # <br /> COMPANY <br /> REGISTERED Y/N FEE CURRENT Y/N <br /> License # <br /> COMPANY <br /> REGISTERED Y I N FEE CURRENT Y/N <br /> License # <br /> <br />Address <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />Address <br /> <br />PLUMBER <br />SIGNA TURE <br /> <br />Address <br /> <br />MECHANICAL <br />SIGNA TURE <br /> <br />Address <br /> <br />OTHER <br />SIGNATURE <br /> <br />Address <br /> <br />- <br />RESIDENTIAL <br /> <br />SIGN PERMIT <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 Pl3ns. <br />****PROPERTY SURVEY requi;ed for all NEW construction. <br /> <br />COMMERCIAL <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 (br 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 />Fences (PloUSurvey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />