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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 />'I <br />I <br />I <br /> <br /> <br />Fee Simple Titleholder Address I I <br /> <br /> <br />:8?1I//df~1~:~~l~~~.a'~p <br /> <br /> <br />(OBTAINED FROM PROPERTY TAX NOnCE) <br /> <br />D NEW CONSTR E3 ADD/AL T D SIGN D MOVE D <br />D INSTALL REPAIR <br /> <br />PROPOSED USE D SFR D COMM D OTHER <br /> <br />TYPE OF CONSTRUCTION D BLOCK D FRAME D STEEL D <br /> <br />I/N-57A/.? ~/Vsq~ ,.g ys~ <br /> <br />I SO FOOTAGE I I HEIGHT I I <br /> <br />I <br />I <br />I <br />I <br />D <br />I <br /> <br />"'~~'~:::::",~L. <br /> <br /> <br /> <br />Owner Phone Number I <br /> <br />,o!~lmll <br /> <br />Owner's Name <br /> <br />N.-8t.. ...11 l'itlll1 1.:1 <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />DEMOLISH <br /> <br />OTHER I <br /> <br />I <br />I <br /> <br />~.~ SlPl'iPSS~Vr. <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />D <br /> <br />1$ <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 />BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />WR.E.C. <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />ROOFING <br /> <br />SPECIALTY D <br /> <br />OTHER <br /> <br />FLOOD ZONE AREA <br /> <br />DYES <br /> <br />DNO <br /> <br />COMPANY <br />REGISTERED ~ <br />COMPANY <br />REGISTERED ~ <br />COMPANY <br />REGISTERED ~ <br /> <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />FEE CURRENT ~ <br /> <br />License # ~3~5QfjOOal/7d <br /> <br />BUILDER <br />SIGNATURE <br /> <br />FEE CURRENT <br /> <br />~ <br /> <br />Address <br /> <br />License # <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />FEE CURRENT <br /> <br />~ <br /> <br />Address <br /> <br />License # <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />FEE CURRENT <br /> <br />~ <br /> <br />Address <br /> <br />License # <br /> <br />Add ress <br /> <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />~ <br /> <br />FEE CURRENT <br /> <br />~ <br /> <br />License # <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />~ <br /> <br />Address <br /> <br />M~~t.mnmmm0m~ <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 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 ail NEW construction. <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <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 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 Upgrades AlC <br /> <br />Fences (PloUSurvey/Footage) <br /> <br />Driveways-Not over Counter if on public roadwaysHneeds ROW <br />