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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 />H e.~., <br /> <br />Owner's Name <br /> <br />""".....,,- I 0,., [' <br /> <br />Fee Simple Titleholder Name <br /> <br />Fee Simple Titleholder Address I <br />\--I~~ <br />JOB ADDRESS 1/3 11 <br /> <br />-z.e-~r~~ <br /> <br />SUBDIVISION <br /> <br />Go...u ~I"a <br />I <br /> <br />E3 NEW CONSTR D ADD/AL T D SIGN <br />INSTALL D REPAIR <br />D SFR D COMM D OTHER I <br />D BLOCK D FRAME . D STEEL D OTHER I <br /> <br />I j f\. -;.t-w.t 9~o.;l.o{,& w;-l-vL c:; €.~ VY\ ~ -) <br /> <br />SQ FOOTAGE I I HEIGHT I I <br /> <br />WORK PROPOSED <br /> <br />D <br /> <br />DEMOLISH <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />I <br />I <br />,~~fet2- <br />, ., \\C-.H- <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />o <br /> <br />1$ I <br />000 "'''''CAe :: 14,000 .1-Jco ,'a1R~" <br /> <br />PLUMBING, ~ <br /> <br />D MECHANICAL 1$ I <br /> <br />o GAS 0 ROOFING D <br /> <br />FINISHED FLOOR ELEVATIONS I I <br /> <br />BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E,C, <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />OTHER <br /> <br />DYES <br /> <br />DNO <br /> <br /> BUILDER <br /> SIGNATURE <br /> Address <br />./ ELECTRICIAN <br />SIGNATURE <br /> Address <br /> PLUMBER <br /> SIGNATURE <br /> Address <br /> MECHANICAL <br /> SIGNATURE <br /> Address <br /> OTHER <br /> SIGNATURE <br /> Address <br /> RESIDENTIAL <br /> COMMERCIAL <br /> SIGN PERMIT <br /> <br /> <br />U::..!..!U <br /> <br />FEE CURRENT <br /> <br />l...Y..!!!..J <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />U::..!..!U <br /> <br />FEE CURRENT <br /> <br />l...Y..!!!..J <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />U::..!..!U <br /> <br />FEE CURRENT <br /> <br />l...Y..!!!..J <br /> <br />License # <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 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 AlC Fences (PloVSurvey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />