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<br /> <br /> <br />813-180-0020 <br /> <br />Date Received <br /> <br />Owner's Name <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDtNG SIZE <br /> <br />g BUILDING <br />D ELECTRICAL <br />D PLUMBING <br />D MECHANICAL <br />D GAS <br /> <br />1$ <br />1$ <br />1$ <br />1$ <br />D <br /> <br />FINISHED FLOOR ELEVATIONS I <br /> <br />111I1111III1111II. <br /> <br />BUILDER <br />SIGNATURE <br /> <br />Address <br /> <br />I ELECTRICIAN- <br />SIGNATURE <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-18D-0021 <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />3 <br /> <br />5+9 <br /> <br /> <br /> I <br />E3 NEW CONSTR B ADD/AL T ~ SIGN D MOVE D DEMOLISH <br />INSTALL REPAIR <br />D SFR D COMM D OTHER <br />D BLOCK D FRAME D STEEL D OTHER I <br />I QeM~/ ;b l<e~Io~ (;:t\;'~ c''l6fil <br /> I <br /> sa FOOTAGE:?:> 0 )(. ~ H~IGHT <br /> <br />_11I;1 <br /> <br />- <br /> <br />Flrn - l.v/l '- ~\~7 <br /> <br />c~~;:- 4._i/~.' <br /> <br />~0C- ... <br />F~"Z ~'~\\\ .. _ <br />~- <br /> <br />~\tOOO <br /> <br />I <br />I <br />I <br />I <br />D <br />I <br /> <br />Olb, C5l? _ <br /> <br />I~~- <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D <br /> <br />AMP SERVICE <br /> <br />PROGRESS ENERGY <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />ROOFING <br /> <br />SPECIALTY D OTHER <br />FLOOD ZONE AREA DYES DNO <br /> <br />It& <br /> <br />10'MCO~ <br />I Y IN I FEE CURRENT ~ <br /> <br /> License II <br />COMPANY <br />REGISTERED Y/N FEE CURRENT W!!...J <br /> License II <br />COMPANY <br />REGISTERED Y/N FEE CURRENT W!!...J <br /> License II <br />COMPANY <br />REGISTERED Y IN FEE CURRENT W!!...J <br /> License II <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 />RESIDENTIAL <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms <br />Minimum ten (10) wor1<ing days after submittal dale. Required onslle, Construction Plans. Sanitary Facilities & 1 dumpster <br />Attach (3) sets of Building Plans; (1) set of Energy Fonns. <br />Minimum ten (10) working days after submittal date. Required onsile, ConstlllCtion 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 />_J <br /> <br />1>.. <br /> <br />Directions: <br />Fill out application completely. <br />Owner & Contrador sign back of application, notarized <br />If over $2500, a Notice of Commencement Is required. (AIC upgrades over $5000) <br /> <br />Agent (for the contrador) or Power of Attorney (for the owner) would be someone with notalized letter from owner authorizing same <br /> <br />OVER THE COUNTER PERMITTING (Front of Application Only) <br />Reroofs Sewers Service Upgrades AlC Fences (PlotlSurveylFootage) <br /> <br />Driveways-Not over Counter if on pUblic roadways"needs ROW <br />