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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 /> <br />Owner Phone Number <br /> <br />Owner Phone Number I '5 I ~ <br />Owner Phone Number I <br /> <br />9~ d *-'s-8' I <br />I <br />I <br />I <br /> <br />. (~\. O\C10..oocoO . C 1'-\-0 / I <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Name I <br /> <br />JOB ADDRESS <br /> <br />LOT # <br /> <br />I ' \.( <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />DEMOLISH <br /> <br />STEEL <br /> <br />I <br />D <br /> <br />OTHER <br /> <br />OTHER I <br /> <br />~r- S,~ ~r <br />HEIGHT I <br /> <br />SIC{' <br /> <br />,- <br /> <br />SQ FOOTAGE I <br />111,__ olulMillllllll- <br /> <br />BUILDING SIZE <br /> <br />[SZ] <br /> <br />nl~~lIIllr <br /> <br />nllllm- <br /> <br />- <br /> <br />,..- <br /> <br />IIIlrmdlRlllll~ <br /> <br />GAS <br /> <br />ROOFING <br /> <br />I <br />I <br />I <br />I <br />D <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o <br />o <br /> <br />o <br /> <br />o <br /> <br />ELECTRICAL <br /> <br />PLUMBING <br /> <br />MECHANICAL <br /> <br />VALUATION OF MECHANICAL INSTAllATION <br /> <br />~-~/A <br />S\~ OY"' ~(?p\'C- - <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />OTHER <br />DYES <br /> <br />DNO <br /> <br />BUILDER <br />SIGNATURE <br /> <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 />GjP' <AL !l.OaM^,ct rc <br />. N I FEE CURRENT G) N I <br /> <br />License # I Cttc... I S'I 0 II \) <br /> <br />I <br /> <br />Address <br /> <br />Y f N FEE CURRENT <br /> License # <br />YfN FEE CURRENT <br /> License # <br />YfN FEE CURRENT <br /> License # <br />Y f 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 />Address I <br /> <br />COMPANY <br />REGISTERED <br /> <br />YfN <br /> <br />COMPANY <br />REGISTERED <br /> <br />YfN <br /> <br />License # ~ <br />.u&.u ------w-r <br /> <br />-r -' - _J 'JlIill ..~ _JmJ1I ,_Nwmn IIbHimor-...._~ <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 />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 all NEW construction. <br /> <br />nnr-- -_L--~IIl_IDUWlilll\lJlMRllll__IIlIII~_ -'~-----_IIIIL~lIllIIlIIIlI _.".~_~III <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. (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 />tulliUlllllll,.__ <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />.a.-.11U <br /> <br />-- <br /> <br />__mill <br /> <br />Fences (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />