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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 />Owner's Address I"P 0 'Be> 1<.. <br />Fee Simple TiUeholder Name I <br /> <br /> <br />S+ Pekl <br />I <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Date Received <br /> <br />'l-,J L\ -01 <br />D\Oc.~.:)e. 0+ S-\. r.e~ <br /> <br />Owner's Name <br /> <br />DESCRIPTION OF WORK <br /> <br />B <br />D <br />D <br />I-~&-k\\ <br />I <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />y 0;;:> 0 0 <br />ILJ/ {J, <br />AJ/A <br />IJ+h ,\-f-me+ I LOTI I <br />I PARCELlD#1 /1-;1& -;ll-()()/~- ( 710() '-0100 <br />(OBTAINED FROM PROPERTY TAX NOnCE) <br />D ADD/AL T D SIGN D MOVE D <br />D REPAIR <br />D COMM D OTHER <br />D FRAME D STEEL D <br /> <br />VOiCG eVt(C(,.D:~~<5Yl SLJD-k:1Y1 <br /> <br />SQ FOOTAGE I I HEIGHT I <br /> <br />JOB ADDRESS <br /> <br />Fee Simple TiUeholder Address I <br /> <br />153/(0 <br />I <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />DEMOLISH <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />OTHER I <br /> <br />BUILDING SIZE <br /> <br />D BUILDING 1$ I VALUATION OF TOTAL CONSTRUCTION <br />~ EL~RICA( 1$/;;2( Cf'7S00 1 AMP SERVICE D PROGRESS ENERGY D w.R.E.C. <br />. )"-Q <br />0 PLUMBING 1$ I f'-JDL. <br />0 MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION <br />0 GAS D ROOFING D SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I 1 FLOOD ZONE AREA DYES DNO <br /> <br />BUILDER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/ N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> License # <br />Y/ N FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />ELECTRICIAN I <br />SIGNATURE <br /> <br />Address I <br /> <br />PLUMBER I <br />SIGNATURE <br /> <br />I <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />MECHANICAL I <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br /> <br />License # I <br /> <br />rlincr f,>e Prvkch'rYl <br />~ / N I FEE CURRENT I Y /N I <br />33'71)6 License # I EfOc' (J I &1'1 <br /> <br />OTHER <br />SIGNATURE <br /> <br />Address <br /> <br />RESIDENTIAL <br /> <br />COMMERCIAL <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 />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 Attomey (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 A1C Fences (PloVSurveylFootage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />