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<br />813-780-0020 <br /> <br />Date Received <br /> <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br />OWner's Name <br /> <br />OWner's Address <br /> <br />Fee Simple Titleholder Name I ])a n o..\cl <br /> <br />I <br />1 <br />I <br /> <br /> <br />LOT # l2..U <br /> <br />PARCEL 10#11 i.J-. a (, <.J.' . c 1.. 7 ftJ . l)~OOD' l)~~ <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br /> <br />OWner Phone Number <br /> <br />OWner Phone Num ber I <br /> <br />OWner Phone Num ber I <br /> <br />\( '~d I <br />tjh iAvt-u-- S..h <br />I 4'7/? ClAc...~~ 6f-. <br />I ~d~~ ~tJ~J I <br /> <br />E3 NEWCONSTR D <br />INSTALL D <br />PROPOSED USE ~ SFR 0 <br />TYPE OF CONSTRUCTION D BLOCK 0 <br /> <br />I Q€pla..c.e. M!.hv <br /> <br />I sa FOOTAGE I <br /> <br />Fee Simple Titleholder Address I ~ '11 TJ <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />ADD/AL T <br />REPAIR <br /> <br />COMM <br /> <br />FRAME <br /> <br />D <br />D <br />D <br />Ou.- K. <br />I <br /> <br />SIGN <br /> <br />D <br /> <br />MOVE D <br /> <br />DEMOLISH <br /> <br />OTHER <br />STEEL <br /> <br />I <br />D <br /> <br />OTHER I <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />HEIGHT 1 <br /> <br />D BUILDING 1$ I VALUATION OF TOTAL CONSTRUCTION <br />~ ELECTRICAL 1$ '15 ()!J}2.- I AMP SERVICE 0 PROGRESS ENERGY D W.R.E.C <br />D PLUMBING 1$ I <br />D MECHANICAL 1$ I VALUATION OF MECHANICAL INSTAllATION <br />D GAS D ROOFING 0 SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br />BUILDER <br />SIGNATURE <br /> Address License # <br />ELECTRICIAN I COMPANY <br />SIGNATURE REGISTERED ~ FEE CURRENT I Y/N I <br /> Address I license # <br />PLUMBER I COMPANY <br />SIGNATURE REGISTERED ~ FEE CURRENT ~ <br /> Address I License # <br />MECHANICAL I COMPANY <br />SIGNATURE REGISTERED ~ FEE CURRENT ~ <br /> Address I License # <br />OTHER I COMPANY <br />SIGNATURE REGISTERED ~ FEE CURRENT ~ <br /> Address I License # <br /> <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, San~ary 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, Sanrtary 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 $2500, a Notice of Com mencement Is requ ired. (AlC upgrades over $5000) <br /> <br />Agent (for the contractor) or PO'Nef of Attorney (for the owner) 'NOuld 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 <br /> <br />Fences (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadvvays..needs ROW <br />