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<br /> <br />Fee Simple Titleholder Address I <br /> <br />l'7lf~ <br />I <br /> <br />813-780-0020 <br /> <br />Date Received <br /> <br />Owner's Name <br /> <br /> <br />Owner's Address 17a s <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 />Owner Phone Number (Q/O- Ceeo '7. S8CD <br />~ctk eJl~~~wS~~~o~~N~~er I <br /> <br /> <br />I Owner Phone Number I <br /> <br />G-~ \ \ <br /> <br />B\~d <br /> <br />I LOT# I <br /> <br />PARCEL 10# I '35- ~5 -a I.. 6010.. D,a 00- DtJ/ I <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br /> <br />I <br /> <br />n NEW CONSTR Ll <br />D INSTALL D <br />D SFR D <br />D BLOCK D <br /> <br />I:r~~\\ .71.- f..\\ S\~~ <br /> <br />I SQ FOOTAGE I <br /> <br />ADD/AL T D <br />REPAIR <br />D OTHER <br />D STEEL D OTHER IX t1ltki'V\. I <br />6~~ Gr~1\ &c G"r.;f (')~ ~~ \J~'j JCO< I <br />I HEIGHT I I <br /> <br />D <br /> <br />MOVE D <br /> <br />SIGN <br /> <br />DEMOLISH <br /> <br />COMM <br /> <br />FRAME <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D BUILDING <br />~ ELECTRICAL <br />D PLUMBING <br />D MECHANICAL <br />D GAS <br /> <br />1$ <br />1$~/c,.'-I~ <br />1$ <br />1$ <br /> <br />D ROOFING <br />FINISHED FLOOR ELEVATIONS I <br /> <br />I <br />I <br />I <br />I <br />D <br />I <br /> <br />DNO <br /> <br />D <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />W.R.E,C, <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIAL TY ~ OTHER <br />FLOOD ZONE AREA DYES <br /> <br />BUILDER <br />SIGNA TURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y I N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />ELECTRICIAN I <br />SIGNA TURE . <br /> <br />Address I <br /> <br />PLUMBER I <br />SIGNA TURE <br /> <br />Address I <br /> <br />MECHANICAL I <br />SIGNATURE . <br /> <br />Address I <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y IN <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y I N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />L <br />I <br /> <br />Y I N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br /> <br />Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms <br />Minimum !<:l11 ('10) working days :::ft" submitt;;1 ('<lte, R'"<luired on~ite Construction Plans. Sanitary Faci!ities & 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 />OTHER <br />SIGNA TURE <br /> <br />Address <br /> <br />RESIDENTIAL <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, (A/C 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 A/C <br /> <br />Driveways-Not over Counter if on public roadways,. needs ROW <br /> <br />Fences (Plot/Survey/Footage) <br />