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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />BuHding Department <br /> <br />Fax~13-780-0021 <br /> <br />/I#fI .' ~A€- <br />#~7Bl <br /> <br />Date Received <br /> <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Name I <br /> <br />Owner Phone Number 73 <br /> <br />~~Ph~7~~ I <br /> <br /> <br />Owner Phone Number I <br /> <br />Owner's Name <br /> <br />Fee Simple Titleholder Address I <br /> <br />ICcO;;JCo Go II B \ vd <br /> <br />JOB ADDRESS <br /> <br />LOTti <br /> <br />I <br /> <br />D NEW CONSTR D ADD/AL T lX1 SIGN <br />D INSTALL D REPAIR <br />PROPOSED USE D SFR [gJ COMM D OTHER <br />TYPE OF CONSTRUCTION D BLOCK D FRAME Ig] STEEL D <br /> <br />DESCRJPTIONOFWORK I ('0\)09::1 o\fer ps d\ spense\S <br /> <br />I stf~~EI 3\505~1 HEIGHT I <br />I$~/~ <br />D ELECTRICAL 1$ <br />D PLUMBING 1$ <br />D MECHANICAL 1$ <br /> <br />D GAS D <br />FINISHED FLOOR ELEVATIONS I <br /> <br />PARCELI~ICB-~~\-COIO- l~8CO" 00\0 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />D <br /> <br />MOVE D <br /> <br />DEMOLISH <br /> <br />OTHER I <br /> <br />BUILDING SIZE <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 />WHEC. <br /> <br />BUILDING <br />('<.\ "00-/ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />I~I <br /> <br />Address <br /> <br />o <br />. 1"51 <br />t(;;(?>.,>'1' "T <br /> <br />~u t ~ . : "~(3..o7 ./ <br />- s....'...r .~ () V <br />~(!'\ ~'t: tf/ll(ft,~ <br />'Is- '~;;,:tff. ifl1. <br />q; 1 rTJ <br /> <br />I U8~Vr~L~~\hc.. <br /> <br />3 License # I Cffl..A as/501 I <br />h,. COMPANY ..6 <,DlJ "T G.c c. I .~ I <br />,/ , - REGISTEREO , -1"'y I N I FEE CURRENT ~ <br /> <br />1333 S 51? 'f IS ~. ~L 3J7c;rr License # f;:..C"QD/7 S't I <br />I I ;~:~~ Y I N FEE CURRENT ~ I <br /> <br />I License # I <br /> <br />I <br />I <br />I <br />I <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />OTHER <br /> <br />DYES <br /> <br />ONO <br /> <br /> <br />BUILDER <br />SIGNATURE <br /> <br /> <br />Address <br /> <br />C-ECTRICIAN .. <br />SIGNATURE <br /> <br />PLUMBER <br />SIGNATURE <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 />Y/N <br /> <br />FEE CURRENT <br /> <br />~ <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />~ <br /> <br />License # <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 onslte, Construction Plans, Sanitary Facilities & 1 dumpster <br />All commercial requirements must ~t compliance. <br />Attach (2) sets of Engineered Plans. <br />-PROPERTY SURVEY required for all 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 upgredes over $5000) <br /> <br />Agent (for the contractor) or Power of Attomey (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 AlC Fences (PIolISurvey/FOOlage) <br /> <br />Driveways-No! over Counter ~ on pUblic roaclwaysuneeds ROW <br />