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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 />~ft () J\ Cb <br /> <br /> <br />Date Received <br /> <br />{I3~O :;;p{l-J 57: ~5';;~~,H~t;F'LOT/I I <br />PARCElID# I <br /> <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />JOB ADDRESS <br /> <br />Fee Simple Titleholder Address I <br />12I3~;-Iyt<(7Jl-(..>/UA-1 <br /> <br />I I <br />B <br />o <br />o <br /> <br />SUBDIVISION <br /> <br />(OBTAINED FROM PROPERTY TAX NOnCE) <br /> <br />WORK PROPOSED <br /> <br />E3 <br />o <br />o <br />6u/kJ <br />I <br /> <br />NEW CONSTR <br />INSTALL <br /> <br />SFR <br />BLOCK <br /> <br />DESCRIPTION OF WORK <br /> <br />A..-'JI'r7., ~'-r(I....",-~ <br /> <br /> <br />SQ FOOTAGE I <br /> <br />ADD/All 0 SIGN D MOVE 0 DEMOLISH <br />REPAIR <br />COMM 0 OTHER ~G;;::;~RY V/f/..-t.- : <br />FRAME 0 STEEL <br />/;->-<,11 ~- I/H b~ I..,-1S"'o.r") ~ ~ 1:r~r ,..C) ,), i./l <br /> I HEIGHT I 3~-1 In" ~Lrh..,t.-~C: ;.2 s: ( ,/., j7 r<->G:;:-$-, ~ <br /> <br />PROPOSED USE <br /> <br />TYPE OF CONSTRUCTION <br /> <br />BUILDING SIZE <br /> <br />D BUILDING 1$ :sv 00LJ <br /> / <br />D ELECTRICAL 1$ <br />D PLUMBING 1$ <br />D MECHANICAL 1$ <br />D GAS 0 ROOFING <br />FINISHED FLOOR ELEVATIONS I <br /> <br />I <br />I <br />I <br />I <br />o <br />I <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />PROGRESS ENERGY <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />Nee. - <br /> <br />o W.R.E.C, <br />~ '2->'PGf(\.QMJ'("\ P('O) <br />()o.c~ no+ ~ <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY 0 OTHER <br />FLOOD ZONE AREA DYES DNo <br /> <br />BUILDER <br />SIGNATURE <br /> <br /> <br />ELECTRICIAN I <br />SIGNATURE . <br /> <br />Address I <br /> <br />PLUMBER I <br />SIGNATURE <br /> <br />I <br /> <br />COMPANY <br />REGISTERED <br /> <br />COMPANY I ~p.;l{g~ I Z&::lO ~ <br />REGISTERED Y / N FEE CURRENT ~ \J . <br />License/l I c 6- Co::::.') 3'3751 <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />~ <br /> <br />Address <br /> <br />License /I <br /> <br />COMPANY <br />REGISTERED <br /> <br />~ <br /> <br />FEE CURRENT <br /> <br />~ <br /> <br />Address <br /> <br />MECHANICAL I <br />SIGNATURE . <br /> <br />Address I <br /> <br />OTHER I <br />SIGNATURE <br /> <br />Address I <br /> <br />License II <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />~ <br /> <br />License /I <br /> <br />COMPANY <br />REGISTERED <br /> <br />~ <br /> <br />FEE CURRENT <br /> <br />~ <br /> <br />License II <br /> <br />RESIDENTIAL 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 />COMMERCIAL Attach (3) sets of Building Plans; (1) set of Energy Fonns, <br />Minimum ten (10) working days after submittal date, Required onsite, Construction Plans. Sanitary Facilities & 1 dumpster ~ .....,.. <br />All commercial requirements must meet compliance, ~"Y' <br />SIGN PERMIT Attach (2) sets of Engineered Plans, ..<>. ~ ~,..". <br />. -PROPERTY SURVEY required for all NEW construction, \ V , ,~ ^ ;~ /) <br /> <br />Directions: ~ ~ ,,' ~. U I <br />Fill out application completely, <) ~ 0'" \L., <br />Owner & Contractor sign back of application. notanzed .<) ~ ..,., '\\) \ <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 auth~ <br /> <br />OVER THE COUNTER PERMITTING (Front of Application Only) <br />Reroofs Sewers Service Upgrades AlC Fences (PloVSurveylFootage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br /> <br />