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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 />4tU <br />I~#I Sr <br /> <br /> <br />I <br />I <br />I <br />~!J'1f2 #/0.'-; I -FL LOT' 1.3 YO I <br />PARCEL IDII I O;;J-;;c,.-;J./ - Off'{) -~ -o:WO I <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN 0 MOVE 0 <br /> <br />Owner Phone Number ~ <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Owner's Name <br /> <br />Owner's Address I 6/37 <br />Fee Simple Titleholder Name I <br /> <br />Fee Simple Titleholder Address I <br /> <br />! ~I/r? /~#; SI- <br />I Z;a j,y,e ~~a:> I <br /> <br /> <br />B NEW CONSTR D ADD/AL T <br />INSTALL D REPAIR <br /> <br />PROPOSED USE 0 SFR D COMM <br /> <br />"'" O"O'''.'cno, 0 'COC' ~ ""''' <br /> <br /> <br />DESCRIPTION OF WORK I tI./'l 7 ~ 12.. 11;: T7!:~ <br /> <br /> <br />I sa FOOTAGE I <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />o <br />o OTHER I <br />~I";:"'~"; <br /> <br /> <br />I HEIGHT I <br /> <br />DEMOLISH <br /> <br />BUILDING SIZE <br /> <br />0 BUILDING 1$ I <br />0 ELECTRICAL 1$ I <br />-~ PLUMBING 1$ ~OO I <br />0 MECHANICAL 1$ I <br />0 GAS 0 ROOFING D <br />FINISHED flOOR ELEVATIONS I I <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY 0 OTHER <br />FLOOD ZONE AREA DYES <br /> <br />DNO <br /> <br />BUILDER <br />SIGNATURE <br /> <br />Addre.. <br /> <br />ELECTRICIAN I <br />SIGNATURE . <br /> <br />COMPANY <br />REGISTERED YIN FEE CURRENT L.:!:L!U <br /> license # <br />COMPANY <br />REGISTERED YI N FEE CURRENT L.:!:L!U <br /> license # <br /> <br />PLUMBER <br />SIGNATURE <br /> <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED YI N FEE CURRENT L.:!:L!U <br /> license # <br />COMPANY <br />REGISTERED YI N FEE CURRENT L.:!:L!U <br /> license # <br /> <br />Address <br /> <br />OTHER <br />SIGNATURE <br /> <br />Addre.. <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 onsile, Construction Plans, Sanilary 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 />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Direction.: <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 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 <br /> <br />Fences (PloUSurvey/Footage) <br /> <br />Driveways-Not over Counter If on public roadways. .needs ROW <br />