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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 Rec~ived <br /> <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Owner's Name <br /> <br />,. -- ......".....- I r <br />I ~~ ~~I <br />JOB ADDRESS Z&l'I1Y~fllt.l-S j/~ tt330 2D1li9: '13JNc) LOT# <br /> <br />I I PARCEL 10.1 /1> ~ 2.t. -2.1 - oe>7D -07'100 -0;;:100 I <br />(OBTAINED FROM PROPERTY TAX NOllCE) <br />E3 ADDIALT D SIGN 0 MOVE D <br />REPAIR <br />D COMM D <br />D FRAME D <br /> <br />SUBDIVISION <br /> <br />DESCRIPTION OF WORK <br /> <br />E3 <br />D <br />D <br />11€/flF <br /> <br />SFR <br /> <br />OTHER <br /> <br />I <br />o <br /> <br />OTHER I <br /> <br />WORK PROPOSED <br /> <br />NEW CONSTR <br />INSTALL <br /> <br />DEMOLISH <br /> <br />PROPOSED USE <br /> <br />TYPE OF CONSTRUCTION <br /> <br />BLOCK <br /> <br />STEEL <br /> <br />~I.li€,;t /Or<.. <br />SQ FOOTAGE I <br /> <br />.71~ <br /> <br />ST/c <br /> <br />BUILDING SIZE <br /> <br />HEIGHT <br /> <br />D <br /> <br />1$ <br />1$ <br />1$ <br />1$ <br />D <br /> <br />FINISHED FLOOR ELEVATIONS I <br /> <br />BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />~ <br />D <br /> <br />D <br /> <br />D <br /> <br />ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />'ltJO II <br /> <br />D PROGRESS ENERGY <br />IZPjZ'H)j,!t'tf 7Z~p <br /> <br />o WRE.C. <br />:,,;?1..V:rt.c-:"'" p()l.-~ <br /> <br />PLUMBING <br /> <br />MECHANICAL <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />GAS <br /> <br />ROOFING <br /> <br />D <br />I <br /> <br />SPECIALTY D OTHER <br />FLOOD ZONE AREA DYES <br /> <br />ONO <br /> <br />BUILDER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y IN <br /> <br />FEE CURRENT <br /> <br />W!!.J <br /> <br />.$7- License # I cCtJcJ~"..sO y <br />COMPANY <br />REGISTERED L..!:.!.J!...J FEE CURRENT W!!.J <br /> License # <br />COMPANY <br />REGISTERED YI N FEE CURRENT W!!.J <br /> License # <br />COMPANY <br />REGISTERED L..!:.!.J!...J FEE CURRENT W!!.J <br /> License # <br /> <br /> <br />Address <br /> <br /> <br />License # <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />e; ~ ~/? EZC?7"LrC/ft.. 4-N7d- ...r <br />Y N FEE CURRENT Y N <br /> <br />Address <br /> <br />?LUMBER <br />SIGNATURE <br /> <br />Address <br /> <br /> <br />MECHANICAL I <br />SIGNATURE . <br /> <br />Address I <br /> <br /> <br />OTHER I <br />SIGNATURE <br /> <br />Address I <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 Pians, 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 onslte, 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 $2500, a Notice of Commencement Is required. lAIC 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 PERMITTlNG (Front of Application Only) <br />Reroofs Sewers Service Upgrades AlC <br /> <br />Fences (PloUSurveyIFootage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br /> <br />, <br />