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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />BuHdlng Department <br /> <br />,u.,.~? <br /> <br />Date Received <br /> <br /> <br />Owner Phone Number t 8, ~ J 788 ~ <br />Owner Phone Number I <br />Owner Phone Number I <br /> <br />Fee Simple Titleholder Name I <br /> <br />Fee Simple Titleholder Address <br /> <br /> <br />4- ~'ZeP# <br />I <br /> <br />NEWCONSTR D ADDlALT 0 SIGN <br />INSTALL D REPAIR <br />SFR D COMM 0 OTHER <br />o BLOCK [;)ZJ FRAME 0 STEEL 0 <br /> <br />I~$~ HIlL Sf((fJJ~ f4il.. r:1L& (2.JxJIu ~. <br /> <br />I SQFOOTAGE I 4,SS4. 04 HEIGHT I <br />. <br /> <br />.2(-. 00f A - 00000 - 01 <br /> <br /> <br />LOT # I <br /> <br />JOB ADDRESS <br /> <br />SUBDMSION <br /> <br />WORK PROPOSED <br /> <br />~ <br /> <br />o <br /> <br />MOVE 0 <br /> <br />DEMOLISH <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTiON <br /> <br />OTHER I <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />~ & -nmmR:_ <br /> <br />-A.. <br /> <br />~._- <br /> <br />~nRUe <br /> <br />1$ <br />1$ <br />1$ <br /> <br />IlO MECHANICAL 1$ A ./ <br />11, "':)OD. 00 <br />o GI>S 0 <br />FINISHED FLOOR ELEVATIONS I <br /> <br />o <br />o <br />o <br /> <br />BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROORESS ENERGY <br /> <br />o W.R.E.C. <br />,,JOe.,, - tx\~~ P'--b} <br /> <br />sPR..I ~ lL L1::IL. <br /> <br />PLUMBING <br /> <br />VALUATION OF MECHANICAL INSTALLATION - f=f{2E <br /> <br />ROOFING <br /> <br />D <br />I <br /> <br />SPECIALTY 0 OTHER <br /> <br />FLOOD ZONE AREA DYES ONO <br /> <br />- <br /> <br />_ UI:i <br /> <br />IlIIIII <br /> <br />BUILDER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED Y/N FEE CURRENT W!:!..J <br /> License III <br />COMPANY <br />REGISTERED Y/N FEE CURRENT W!:!..J <br /> Ucense III <br />COMPANY <br />REGISTERED YI N FEE CURRENT W!:!..J <br /> License III <br />COMPANY <br />REGISTERED YI N FEE CURRENT W!:!..J <br />COMPANY <br />REGISTERED <br /> License' <br /> Ulf_ .1- ~~lII1l11~ n.llL <br /> <br />Address <br /> <br />ELECTRICIAN I <br />SIGNATURE <br /> <br />Address I <br /> <br />PLUMBER I <br />SIGNATURE <br /> <br />I <br /> <br />Address <br /> <br />MECHANICAL I <br />SIGNATURE <br /> <br />Address <br /> <br /> <br /> <br />OTHER <br />SIGNATUR <br /> <br />RESIDENTIAL <br /> <br />AIlac:h (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms <br />Minimum Illn (10) working days after submittal dalll. Required onsile, Construction Plans, Sanilery Facilities & 1 durrpster <br />AIlac:h (3) sets of Building Plans; (1) set of Enargy Forms. <br />Minimum Illn (10) working days after submittal date. Required onsile, Construction Plans, Sanitary Facilities & 1 durrpster <br />All commercial requirements roost meet compliance. <br />AIlac:h (2) sets of Engineered Plans. <br />--PROPERTY SURVEY required for all N EVIl construction. <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Directions: <br />Fill out applicetion completely. <br />Owner & Contractor sign back of application, notarized <br />If over $2600, a Notice of Commencement is required. (AlC upgrades over $5000) <br /> <br />Agent (for the contractor) or P~r of Attorney (for the owner) would be someone with notarized leller from owner authorizing same <br /> <br />OVER THE COUNlER PERMITTING (Front of Application Only) <br />Reroofs Sewers Service Upgrades AlC <br /> <br />, "lrrnrTlrJlfinrr <br /> <br />-nllmfB run. I ill! r <br /> <br />I~ <br /> <br />Fences (PIot/Survey/Footage) <br /> <br />Driveways.Not over Counter ~ on public roadways..naeds ROW <br />