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<br />813-7~0 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-a13-7~1 <br /> <br />/1')))\ <br /> <br />.......... ~ I --~..~ I <br />0-._' ~.tZ ,YJi/IOii'c J.. tJT"'''IV/ .....--- _3-;gq 2 -&3t <br />Owner'sAddress 1~~'2<O ~6i'''' .'STfZ...;"I,;;'T I Owner Phone Number I I <br />Fee Simple Titleholder Name I I Owner Phone Number I I <br />I <br />I <br />I <br /> <br />JOB ADDRESS <br /> <br />Fee Simple TlUehoIder Address I <br />15(...Z(P <br />I <br /> <br />26Th S\,. <br /> <br />ZePt}.yp.HJ(l~) H... LOTtI I <br /> <br />I PARCELIDlI,2.. z.~~, nO.uJ ()dlfa~("}II() <br />(OBTAINED FROM PROPERTY TAX NOTICEI <br />CJ AOD/ALT D SIGN D MOVE D <br />CJ REPAIR <br />CJ COMM D <br />D FRAME D <br /> <br />1+00 0 <br /> <br />I HEIGHT I <br /> <br />SUBDIVISION <br /> <br />DESCRlPll0N OF WORK <br /> <br />E3 <br />D <br />D <br />I.::z::,.,ts 1"'('7 LL Gx 1ft") /1<', <br /> <br />I sa FOOTAGE I <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />DEMOLISH <br /> <br />WORK PROPOSED <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUC110N <br /> <br />OTHER I <br />STEEL D <br /> <br />OTHER I <br /> <br />BUILDING SIZE <br /> <br />0 BUILDING 1$ I VALUATION OF TOTAL CONSTRUCTION <br />0 ELECTRICAL 1$ I AMP SERVICE D PROGRESS ENERGY D W.R.E.C. <br />0 PLUMBING 1$ I ~~~ <br />0 MECHANICAL 1$ 6:5' db I VALUATION OF MECHANICAL INSTALLAllON ~~~. <br /> , ~ ''2..ahl3'r\ <br />0 GAS D ROOFING CJ SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />~f/~ <br /> <br />COMPANY I <br />REGISTERED <br /> <br /> <br /> <br />I =fl <br /> <br /> <br /> <br /> <br />COMPANY I <br />REGISTERED <br /> <br />BUILDER <br />SIGNATURE <br /> <br />L...r..!.l:!... <br /> <br />FEE CURRENT <br /> <br />L..!.L.!:U <br /> <br />Address I <br />ELECTRICIAN <br /> <br />SlGN:= <br /> <br /> <br />PLUMBER I <br />SIGNATURE <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />L...r..!.l:!... <br /> <br />rSrblc-1/~'/o ~r-I_ <br />Y IN FEE CURRENT Y IN <br /> <br />Lioense# 1Q1~ODO 2Bq~ I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />L...r..!.l:!... <br /> <br />FEE CURRENT <br /> <br />L..!.L.!:U <br /> <br />Address <br /> <br />License # <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />~~.f~ <br /> <br />COMPANY <br />REGISTERED <br /> <br />~ ~C::::> rl-eeJ )y) I<"TA L- <br />~ FEE CURRENT . L..i!!!J - <br /> <br />Lioense# I IZSb(")Z Vas-'&' <br /> <br />Address <br /> <br />OntER <br />SIGNATURE <br /> <br />L..!.L.!:U <br /> <br />FEE CURRENT <br /> <br />Address <br /> <br />License # <br /> <br />RESIDENTIAL <br /> <br />Attach (2) Plot Plans; (2) sets of Building Plans; (1) set aI Energy Forms <br />Minimum ten (10) wor1<ing days after submittal date. Required onsile, Cons\nJc\ion Plans, Sanitary Facililies & 1 dumpster <br />Attach (3) sets of Building Plans; (1) set of Energy Forms. <br />Minimum ten (10) wor1<ing days after submittal date. Required onsile, Construction Plans, Sanitary Facilities & 1 dumpster <br />All commercial requirements must meet complia1ce. <br />Attach (2) sets of Engineered Plans. <br />--PROPERTY SURVEY required for all NEW construction. <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />~: <br />Fill out application completely. <br />Owner & Contractor sign back aI application, _ <br />If over $2500, a Notice of Commencement is required. (AIC ~ over $5000) <br />Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized Ielter from owner authorizing same <br /> <br />OVER ntE COUNTER PERMITnNG (Front of Application Only) <br />Reroofs Sewers Service Upgrades AlC Fences (PIolISurveylFootage) <br /> <br />DrIveways-Not over Counter if on public roadways..needs ROW <br />