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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 />Owner's Name <br /> <br />Owner's Address I ~ 71 7' t'6A-11 <br />Fee Simple Titleholder Name I <br /> <br />0- <br />B,,, d <;;,,,,. Ttltf~ <br />I <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Fee Simple Titleholder Address I <br /> <br />'37 9'0 ~ <br /> <br />"0_ 7 f'" 7' I?-.J <br /> <br />PARCEL ID# I <br /> <br />JOB ADDRESS <br /> <br />LOT# <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />B <br />D <br />D <br />I ~It...-- k/...III 1't4,..... <br /> <br />I sa FOOTAGE I <br /> <br />NEW CONSTR <br />INSTALL <br /> <br />SFR <br /> <br />B <br />D <br />D <br /> <br />ADD/AL T <br />REPAIR <br /> <br /> (OBTAINED FROM PROPERTY TAX NOnCE) <br />D SIGN D MOVE D DEMOLISH <br />D OTHER I <br />D STEEL D OTHER I <br /> <br />PROPOSED USE <br /> <br />TYPE OF CONSTRUCTION <br /> <br />BLOCK <br /> <br />COMM <br />FRAME <br /> <br />10"- ,<<t r <br /> <br />I <br /> <br />HEIGHT I <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />1$ 2 3<:-'0 <br />1$ <br />1$ <br />1$ <br />D GAS D ROOFING <br />FINISHED FLOOR ELEVATIONS I <br /> <br />D BUILDING <br />D ELECTRICAL <br />D PLUMBING <br />D MECHANICAL <br /> <br />I <br />I <br />l <br />I <br />D <br />I <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />o <br /> <br />WREC <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br />SPECIALTY D OTHER <br />FLOOD ZONE AREA DYES DNO <br />COMPANY <br />REGISTERED ~ FEE CURRENT L.ri!:!....J <br /> License # <br />COMPANY <br />REGISTERED ~ FEE CURRENT L.ri!:!....J <br /> license # <br />COMPANY <br />REGISTERED ~ FEE CURRENT L.ri!:!....J <br /> License # <br />COMPANY <br />REGISTERED ~ FEE CURRENT L.ri!:!....J <br /> <br />BUILDER <br />SIGNATURE <br /> <br />Address <br /> <br />ELECTRICIAN I <br />SIGNATURE <br /> <br />Address I <br /> <br />PLUMBER I <br />SIGNATURE <br /> <br />Address I <br /> <br />MECHANICAL I <br />SIGNATURE . <br /> <br />Address <br /> <br /> <br />I~ <br />Y / N <br /> <br />License # I <br /> <br />LL~ <br /> <br />FEE CURRENT L.ri!:!....J <br /> <br />License # It::r ~ S4X /' <br /> <br />OTHER <br />SIGNATURE <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 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 /> <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 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 AlC <br /> <br />Fences (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />