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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 />-If: (p'711 <br /> <br />JOB ADDRESS <br /> <br />Fee Simple Titleholder Address I ~ e <br /> <br />138;417 C M /Jv 4:2 <br />I <br /> <br />I <br /> <br />!::J NEW CONSTR ~ <br />_ INSTALL D <br />DSFR ~ <br />D BLOCK ~ <br /> <br />I Ml c.v Go-vr~ e 06bf <br /> <br />I SQ FOOTAGE I <br /> <br />Phone Contactfor Permitting ~ 19071- 1:1 7 .7'-' <br />Owner Phone Number LJ7 7- 5'P7.-.;?7 J~I <br />Owner Phone Number I I <br />Owner Phone Number I I <br />I <br />I LOTtI YOJ I~ 121 <br />PARCELlDIIII/-;"-d 1-0010-/1.)00-0/10 I <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />D SIGN 0 MOVE D <br /> <br />D <br />D <br /> <br />Date Received <br /> <br />Owner's Name I <br /> <br />lJeJ(ey c.w~1 <br />177''/7 <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />ADDtAL T <br />REPAIR <br />COMM <br /> <br />FRAME <br /> <br />DEMOLISH <br /> <br />PROPOSED USE <br /> <br />TYPE OF CONSTRUCTION <br /> <br />OTHER <br />STEEL <br /> <br />I <br />o <br /> <br />OTHER I <br /> <br />DESCRIPTION OF WORK <br /> <br />HEIGHT I <br /> <br />BUILDING SIZE <br /> <br />D <br /> <br />BUILDING <br /> <br />1$ 'OC:>.(JCJ <br /> <br />D ELECTRICAL 1$ <br /> <br />D PLUMBING 1$ <br /> <br />D MECHANICAL 1$ <br /> <br />D GAS D <br />FINISHED FLOOR ELEVATIONS I <br /> <br />ROOFING <br /> <br />I <br />I <br />I <br />I <br />D <br />I <br />-+ <br /> <br />AMP SERVICE <br /> <br />CJ <br /> <br />PROGRESS ENERGY <br /> <br />D WRE.C. <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY 0 <br />FLOOD ZONE AREA <br /> <br />OTHER <br />DYES <br /> <br />DNO <br /> <br />COMPANY <br />REGISTERED <br /> <br />~ <br /> <br />FEE CURRENT <br /> <br />~ <br /> <br />~4S1-:S~ <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />BUILDER ~ ~ ~ <br />SIGNATURE ?/ c.. ~~ <br /> <br />Address _ ..~ <br /> <br />ELECTRICIAN I <br />SIGNATURE . <br /> <br />Address I <br /> <br />PLUMBER I <br />SIGNATURE <br /> <br />Address I <br /> <br />MECHANICAL I <br />SIGNATURE . <br /> <br />Address I <br /> <br />OTHER I <br />SIGNATURE <br /> <br />Address I <br /> <br />~~"/~;"'4 <br /> <br />Y t N FEE CURREN't <br /> <br />License # I <br /> <br />COMPANY <br />REGISTERED <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />~ <br /> <br />FEE CURRENT <br /> <br />~ <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />~ <br /> <br />FEE CURRENT <br /> <br />~ <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />~ <br /> <br />FEE CURRENT <br /> <br />~ <br /> <br />license II <br /> <br />RESIDENTIAL <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 ali NEW construction <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. (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 PERMlmNG (Front of Application Only) <br />Reroofs Sewers Service Upgrades AlC Fences (PloUSurveytFootage) <br /> <br />Driveways-Not over Counter if on public roadways__needs ROW <br />