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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 \ \ - \ S 0 <br /> <br />Owner's Name R-ev.~s> f2.tb~ <br />Owner's Address I W4~ \ c:z-tt. 8-r: <br />Fee Simple Titleholder Name I <br /> <br /> <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />JOB ADDRESS <br /> <br />Fee Simple Titleholder Address I <br /> <br />I ~Y'1. \~t\.. ST <br />WMZ~ HtI\ 5\)10 <br /> <br />___~_.nL__ <br /> <br />Zepl.-.~l' ,^.\~S FL 3s5'Lfa.. <br /> <br />I PARCELlD#1 o a.. ~ ~\ 01570 oam 0'-( 10 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />D NEW CONSTR D ADD/AL T 18] SIGN D MOVE D <br />D INSTALL D REPAIR <br />D SFR D COMM D <br />D BLOCK D FRAME D <br /> <br />I~ ,,~~ ( \ ') j u,,,\A1J$l""P4vr) s,><. f", 5,<<. <br /> <br />I SQ FOOTAGJ _ HEIGHT <br /> <br />LOT # <br /> <br />41 <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />DEMOLISH <br /> <br />STEEL <br /> <br />I <br />D <br /> <br />PROPOSED USE <br /> <br />TYPE OF CONSTRUCTION <br /> <br />OTHER <br /> <br />OTHER I <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />~, <br /> <br />........._....n L_ _1.-._ <br /> <br />III <br /> <br />Il.. <br /> <br />.."..- <br /> <br />pili <br /> <br />__ A.J,. <br /> <br />-~ <br /> <br />Inn. <br /> <br />BUILDING <br /> <br />~ <br /> <br />1$ \ d,q 0'0 <br /> <br />D ELECTRICAL 1$ <br /> <br />D PLUMBING 1$ <br /> <br />D MECHANICAL 1$ <br /> <br />D G,AS D <br />FINISHED FLOOR ELEVATIONS I <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />ROOFING <br /> <br />I <br />I <br />I <br />I <br />D <br />I <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />NOC <br />S\ <{r1 cJ\ Pp p\\L -See.. N6C- <br />Ge~ C (J\~PK--tu(2..- <br /> <br />D <br />-/ <br /> <br />W.R.E.C. <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />OTHER <br /> <br />DYES <br /> <br />DNO <br /> <br />BUILDER <br />SIGNATURE <br /> <br /> <br />Address <br /> <br />ELECTRICIAN I <br />SIGNATURE .. <br /> <br />Address l <br /> <br />PLUMBER I <br />SIGNATURE <br /> <br />I <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/ N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> License # <br />Y / N FEE CURRENT <br /> License # <br />Y I N FEE CURRENT <br /> <br />Y/N <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />MECHANICAL I <br />SIGNATURE .. <br /> <br />Address I <br /> <br />OTHER I <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address ~ License # <br /> <br />... 'f~~_ ....till ril- ............ .~..__I _I "____'''"' ,Ilil..... __ <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 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 />SIGN PERMIT Attach (2) sets of Engineered Plans. <br />....PROPERTY SURVEY required for all NEW construction, <br /> <br />~ecti;~"'~-- ,'..- _.__......--,"'''-......pmml,,_ ~-n-. ..,_ <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 Fences (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadwaysnneeds ROW <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br />