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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-S13-780-o021 <br /> <br />,1I!,~l,~:f!,hm"I!'ITI!U!!!!_~.Jrl;a:m,: <br /> <br /> <br />Q.. KF5 <br />TiM8~f21.. i LAo\jE <br /> <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />J: K- <br />-(;t9t L;157 <br />0--'tie. ('(".'464. f~~ <br /> <br />Date Received <br /> <br />Owner's Name <br /> <br />JOB ADDRESS <br /> <br />Fee Simple Titleholder Address I <br /> <br />I <"o3CO <br />I <br /> <br />TtM6Eicl'-f <br /> <br />LA~t:. <br /> <br />LOT # <br /> <br />10000 <br /> <br />I <br />B <br />D <br />D BLOCK D <br />II "-J5TA Lu} r; au <br />I SQ FOOTAGE I <br /> <br />PARCELID#I03--.2(,-Z/-OJ..30-0C70() <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />~ <br />D <br /> <br />NEW CONSTR <br />INSTALL <br /> <br />ADO/AL T <br />REPAIR <br />COMM <br />FRAME <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />DEMOLISH <br /> <br />D <br /> <br />D <br />D <br /> <br />U & FOle.. <br /> <br />I HEIGHT I <br /> <br />OTHER <br />STEEL <br /> <br />I <br />D <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />SFR <br /> <br />BUILDING SIZE <br /> <br />OTHER I <br />p{)th /51->4 <br />I <br /> <br />1-1 E /I 1t:/<.. <br /> <br />DESCRIPTION OF WORK <br /> <br />'OJO bltL <br /> <br />il/fiiinfflii!!"!~lii#i~;:!!fi';Ir.i':it~n~!iil:!,i:~rip1lii~.RelIiI!MM!!llm;iiilI!1Iil:iliiMiiiiiil11!;,~1iIiImiI:utii~mii;<.iViM~~~'ii~~~~NlMJE'lJiiiIlii_IIt:if.Ml~R'If.I"1iiIlilliell~iM:tF.M.'IB~l:riJ <br /> <br />D <br /> <br />D <br />D <br /> <br />1$ <br />1$ <br />1$ <br /> <br />MEC;NICAL 1$ <br /> <br />GAS~, iJD D <br />FINISHED FLOOR ELEVATIONS I <br /> <br />ELECTRICAL <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 />D <br /> <br />W.R.E.C. <br /> <br />BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />PLUMBING <br /> <br />D <br />c:i2J' <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY D OTHER <br />FLOOD ZONE AREA DYES <br /> <br />DNO <br /> <br />BUILDER COMPANY I <br />SIGNATURE REGISTERED L.:!:..!.J::U FEE CURRENT U::i..!::U <br />Address License # I <br />ELECTRICIAN COMPANY I <br />SIGNATURE REGISTERED L.:!:..!.J::U FEE CURRENT U::i..!::U <br />Address License # I <br />PLUMBER COMPANY I <br />SIGNATURE REGISTERED L.:!:..!.J::U FEE CURRENT U::i..!::U <br />Address License # I <br />MECHANICAL COMPANY I <br />SIGNATURE REGISTERED L.:!:..!.J::U FEE CURRENT U::i..!::U <br />Address License # I <br />OTHER i~/;"dJ-<l~~ COMPANY ~~b~ ~~ ~2.5~ <br />SIGNATURE REGISTERED Y IN FEE CURRENT · Y IN <br />Address License # I <br /> <br />_!il~~i~~~~rrei.'!ililmr.i!iillil'iJ~~iII!~~mJ:J191"lrIIR_...._,J ~,'Il! ....~if~Pi!ffil~IT <br />RESIDENTIAL 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 />COMMERCIAL Attach (3) sets of Building Plans; (1) set of Energy Forms. <br />Minimum ten (10) working days after submittal date. Required onsile, Construction Plans, Sanitary Facilities & 1 dumpster <br />All commercial requirements must meet compliance. <br />SIGN PERMIT Attach (2) sets of Engineered Plans. <br />---PROPERTY SURVEY required for all NEW construction. <br /> <br />Fill out application completely. <br />Owner & Contractor sign back of application, notarized <br />If over $2500, a Notice of Commencement is required. (AIC 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 NC Fences (PloVSurvey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />