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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 /> <br />Owner's Address ~[) ~'l <br /> <br />Fee Simple Titleholder Name I <br /> <br /> <br />Fee Simple Titleholder Address I <br /> <br />IQI~ L~ill-,ll 5~S~l/1 <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />JOB ADDRESS <br /> <br />LOT # <br /> <br />I Sq35/5q3~ <br />I <br /> <br />,:&i'j,. ~ :LtpbJadtr lis ,fJa. n35L1~ I <br /> <br />PARCELlD# 111.a.vi)..I- D(1{)- O:lJOb-b('& () <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br /> <br />SUBDIVISION <br /> <br />I <br /> <br /> <br />CJ NEW CONSTR C?1 <br />D INSTALL D <br /> <br />D SFR Ga <br /> <br />D BLOCK D <br /> <br />l.3hi~~ 'Re-l1.1JO~ t d(dPW <br /> <br /> <br />I SQ FOOTAGE __ <br /> <br />WORK PROPOSED <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />FRAME <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />- <br /> <br />~ <br /> <br />1$ ~ I '7Cf'1 50 <br /> <br />1$ <br /> <br />1$ <br /> <br />1$ <br /> <br />D GAS ~ ROOFING <br />FINISHED FLOOR ELEVATIONS I <br /> <br />I <br />I <br />I <br />I <br />D <br />I <br /> <br />BUilDING <br /> <br />D <br />D <br />D <br /> <br />D <br /> <br />D <br /> <br />SIGN <br /> <br />MOVE <br /> <br />DEMOLISH <br /> <br />OTHER I 'Rt.-ll..~F <br />STEEL D OTHER I <br /> <br />I~? <br /> <br />HEIGHT I <br /> <br />AMP SERVICE <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />w.R.E.C, <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />D ELECTRICAL <br />D PLUMBING <br />D MECHANICAL <br /> <br />D <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />SPECIALTY D OTHER <br />FLOOD ZONE AREA DYES <br /> <br />DNO <br /> <br />BUILDER <br />SIGNA TURE <br /> <br />~~~ dIf& <br />lsq" U=> SOl :Dade c.;~/~J <br /> <br />a~3 <br /> <br />I <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br />ELECTRICIAN <br />SIGNA TURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <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 />r;nJJ~r ~~~E~TCAl 'f0i' f <br />License # I CCC- 051 5 U ~ <br /> <br />Y I N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> License # <br /> <br />Y/N <br /> <br />Y/N <br /> <br />Y/N <br /> <br />Y/N <br /> <br />- <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 />- <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br /> <br />Fences (PloUSurvey/Footage) <br />