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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 />Own.... Name <br /> <br />Owner'. AdcI.... I 'I ~ J <J <br /> <br />Fee Simple Titleholder Name I <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br />Owner Phone Number I <br /> <br />JOB ADDRESS <br /> <br />Fee Simple T1Ueholder Adclress I <br /> <br />1.I/?Ci9 <br />I <br /> <br />WORK PROPOSED <br /> <br />NEW CONSTR <br />INSTALL <br /> <br />SFR <br />BLOCK <br /> <br />rJ (!) sf. Z tph V rIll '" 5 <br /> <br />I PARCEL ID# I /I/-J{,.~ /-(101 () - oo~m' 00</0 <br />(OBTAINED FROM PROPERTY TAX NOnCE) <br />E3 ADD/ALT D SIGN D MOVE D <br />REPAIR <br />D COMM D <br />D FRAME D <br /> <br />LOT' <br /> <br />SUBDMSlON <br /> <br />~ <br /> <br />PROPOSED USE D <br />TYPE OF CONSTRUCTION [X] <br /> <br /> <br />::::"'[;, }1~~' .....,...1 <br /> <br />D BUILDING I$~" 1/3(. (" 7 <br /> <br />D ELECTRICAL 1$ <br /> <br />D PLUMBING 1$ <br /> <br />D MECHANICAL 1$ <br /> <br />D GAS D <br />FINISHED FLOOR ELEVATIONS I <br /> <br />DEMOLISH <br /> <br />OTHER <br />STEEL <br /> <br />I <br />D <br /> <br />OTHER I <br /> <br />.c'/ tlv <br /> <br />HEIGHT I <br /> <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />PROGRESS ENERGY D <br /> <br />~o-\- I-h s+- ./ <br />NOC ~ eec'd <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />D <br /> <br />W.R,E.C, <br /> <br />AMP SERVICE <br /> <br />ROOFING <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />OTHER <br />DYES <br /> <br />DNO <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />~ 1 /J~..L... Ir~~'6;rI2.. <br />lJynn-m l.!.tJAJ ~)ION 0er.L' <br />YI N FEECURRENT YIN - <br />License # I UCl. o~3~ 33 I <br /> <br />~~t:~~ : <br />I I <br /> <br />~ FEE CURRENT ~ <br /> <br />I <br />I <br />I <br />I <br />I <br /> <br />BUILDER <br />SIGNATURE <br /> <br />Add <br /> <br />Add.... <br /> <br />MECHANICAL I ~ j J /::l. <br />SIGNATURE . /JlLJ-' <br /> <br />Address I <br /> <br />OTHER I <br />SIGNATURE <br /> <br />Address I <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />~ <br /> <br />FEE CURRENT <br /> <br />~ <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />~ <br /> <br />FEE CURRENT <br /> <br />~ <br /> <br />License # <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 aftar submittal dale. 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 $2&00, a Nottce of Commencement I. required. (AlC upgl1ldes over $5OOlJ) <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 Upgredes NC Fences (PlollSulVeylFootage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />