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<br />813-780-0020 <br /> <br /> <br />City of Zephyrhills Permit Application <br />Building Department () <br />rasco <br />/3 <br /> <br />Date Received <br /> <br />Fee Simple Titleholder Name <br /> <br />Owner Phone Number <br /> <br />r Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br />e <br />Fee Simple Titleholder Address I s ~ R- <br />!3E51'1J ~tv;!~ /Df~,~/~ 7L339/;;C I LOU 102- <br />I SkerJ 7Ji;/ [ntJ I PARCELI..16~ ~;(6-';V -0016 -0iJM- ti136 <br />(OBTAINED FROM PROPERTY TAX NOnCE) <br />~ NEW CONSTR CSZJ ADD/ALT D SIGN D MOVE D DEMOLISH <br />~ INSTALL D REPAIR <br />PROPOSED USE D SFR D COMM D <br />TYPE OF CONSTRUCTION D BLOCK D FRAME D <br /> <br />DESCRIPTION OF WORK I ..5cl'eeJt.. Room 01-- /200? - 0 ve r <br /> <br />liD ~ 3:z. ,5.1<'-. I I <br />BUILDING SIZE 1/ x 3..2.. RcoF SQ FOOTAGE ~ 7 :< <br />TII""IIIIIIIIIIIIIIII."'II"')I""'III"""'IIIIIII111111""'1111111111111"'"'11111'0011111111111""..."111111'.'...'1111111111'"',111111111 <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />OTHER I ,i . <br />STEEL ~ <br /> <br />~ <br /> <br />OTHER I /-:/"-;..,.......... <br /> <br />HEIGHT I <br /> <br />0- BUILDING 1$ JI/ ()OO.OO I VALUATION OF TOTAL CONSTRUCTION <br />D ELECTRICAL 1$ I AMP SERVICE D <br />D PLUMBING 1$ I <br />D MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION <br />D GAS D ROOFING D SPECIALTY D OTHER ~NO <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES <br /> <br /> <br />4l t Oty <br />Add'... L7f/ CK ~ W62, ~'f'tt~;L <br /> <br />ELECTRICIAN COMPANY I <br />SIGNATURE REGISTERED <br /> <br /> <br />License # <br /> <br />BUILDER <br />SIGNATURE <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />YI N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />111I1111111111111I1111111I111111111111I1111I1111111111111111I1I111111II1111111111111111111111111111111I111111IIIIIIIilllllllllllll <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 onsite, Construction 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 />1111111I111111111111111111111111111111111111111111111111111111I11111111111111111111111111111111111111111111111111111111111111111111111111111111111 <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 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 <br /> <br />Address <br />111111111111111 <br />RESIDENTIAL <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Fences (PloUSurvey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />