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<br /> <br />Fee Simple Titleholder Address 1 <br /> <br />I :.'3/7 C{ ) '-\ <br />1 <br /> <br />813-780-0020 <br /> <br />Date Received <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Name I <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br />Owner Phone Number <br /> <br />C1" Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />LOT# <br /> <br />NEW CONSTR <br />INSTALL <br /> <br />SFR <br /> <br />I <br />B <br />D <br />D <br /> <br />PARCEL 10# I <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D DEMOLISH <br /> <br />B <br />D <br />D <br />19 p,z ,"'I:::'/~ /'}to",,- I ~">'L' ....... r <br />1 sa FOOTAGE 1 <br /> <br />D <br />D <br />D <br /> <br />ADD/AL T <br />REPAIR <br /> <br />COMM <br /> <br />OTHER I <br />STEEL D <br /> <br />BLOCK <br /> <br />FRAME <br /> <br />OTHER I <br /> <br />HEIGHT I <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D BUILDING <br />D ELECTRICAL <br />D PLUMBING <br />D MECHANICAL <br />D GAS <br /> <br />1$ Z :Y;,D <br />1$ <br />1$ <br />1$ <br />D ROOFING <br />FINISHED FLOOR ELEVATIONS I <br /> <br />1 <br />I <br />I <br />1 <br />D <br />I <br /> <br />WRE.C <br /> <br />D <br /> <br />D <br /> <br />AMP SERVICE <br /> <br />PROGRESS ENERGY <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br />SPECIALTY D OTHER <br />FLOOD ZONE AREA DYES DNO <br />COMPANY <br />REGISTERED ~ FEE CURRENT ~ <br /> License # <br />COMPANY <br />REGISTERED ~ FEE CURRENT ~ <br /> License # <br />COMPANY <br />REGISTERED ~ FEE CURRENT ~ <br /> License # <br />COMPANY <br />REGISTERED ~ FEE CURRENT ~ <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 />OTHER <br />SIGNATURE <br /> <br /> <br />License # I <br /> <br />I~I~T~ <br /> <br />License # IEI',9a::>>o ~'f""- I <br /> <br />Address <br /> <br />RESIDENTIAL <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <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 />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 Ale <br /> <br />Driveways-Not over Counter if on public roadways"needs ROW <br /> <br />Fences (Plot/Survey/Footage) <br />