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<br />813-780-0020 <br /> <br />City of Zephyrhills Pennit Application <br />Building Department <br /> <br />Fax-813-78O-l1021 <br /> <br />Date Received <br /> <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Owne!"sName <br /> <br />Owne!"s Address <br /> <br />Fee Simple Titleholder Name I <br /> <br />JOB ADDRESS <br /> <br />Fee Simple Titleholder Add",ss I <br /> <br />i(P/?Y4 <br /> <br />~o Leplutf h/JJ5 I f C- <br /> <br />PARCEL 10# I <br /> <br />LOT. I <br /> <br />SUBDIVISION <br /> <br />. DiAlr 'I <br />I <br /> <br /> <br />E3 NEWCONSTR c:J ADD/ALT 0 <br />INSTALL D REPAIR <br /> <br />o SFR D COMM 0 OTHER I <br /> <br />o . BLOCK CJ FRAME D STEEL 0 <br /> <br />I (' 0 rfl G::k i')owJ J. o/./tJ""l <br /> <br />sa FOOTAGE I I HEIGHT I <br /> <br />I <br />I <br />I <br />I <br />CJ <br />I <br /> <br />(OBTAINED FROM PROPERTY TAX N01lCE~ <br />SIGN 0 MOVE 0 ~ <br /> <br />WORK PROPOSED <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />OTHER I <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />o BUILDING 1$ <br /> <br />o ELECTRICAL 1$ <br /> <br />o PLUMBING 1$ <br /> <br />o MECHANICAL 1$ <br /> <br />o GAS D <br />FINISHED FLOOR ELEVATIONS I <br /> <br />VAlUATION OF TOTAl CONSTRUCTION <br /> <br />~d.OO 'f2f2. <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E,C, <br /> <br />VAlUATION OF MECHANICAL INSTALLATION <br /> <br />ROOFING <br /> <br />SPECiAl TV 0 <br /> <br />FLOOD ZONE AREA <br /> <br />OTHER <br /> <br />DYES <br /> <br />ONO <br /> <br />Add",,, <br /> <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE! CURRENT <br /> <br />BUILDER <br />SIGNATURE <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />L..!L!LJ <br /> <br />Add",,, <br /> <br />License . <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />YI N <br /> <br />feE CURREtolT <br /> <br />LrL!LJ <br /> <br />Add..... <br /> <br />MECHANICAL I <br />SIGNATURE <br /> <br />License . <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />feE CURRENT <br /> <br />L..!L!LJ <br /> <br />Add",,, <br /> <br /> <br />OTHER <br />SIGNATURE <br /> <br />Add",,, <br /> <br />RESIDENTIAL <br /> <br />Allach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fonns <br />Minimum ten (10) working days after submlllal date, Required onsile, Construclion Plans. Sanitary Facilities & 1 dumpster <br />Allach (3) sets of Building Plans; (1) set of Energy Fonns, <br />Minimum ten (10) working days after aubmillal date, Required onsile. Construclion Plans. Sanitary Facilities & 1 dumpster <br />All commercial requirements must meet compliance, <br />Allach (2) sets of Engineered Plans, <br />*"**PROPERTY SURVEY required for all NEW construction, <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />DI",ctions: <br />Fill out application completely, <br />Owner & Contractor sign back of appHcalion. notarized <br />If over $2600, a NotIce of Commencement Is "",uired, lAIC upgl'llde8 over $50001 <br />Agent (fOr !he contractor) or Power of AIIomey (for !he owner) would be someone with notarized Ieller from owner authorizing same <br />OVER THE COUNTER PERMlmNG (Front of Application Only) <br />Reroofs Sewers Service Upgrades NC Fences (PlotlSurveylFoolage) <br /> <br />Drlveways.Nol over Counter if on public roadways..needs ROW <br />