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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-00i13D 1r <br /> <br />II;) <br /> <br />OWner's Address <br /> <br />Fee Simple Titleholder Name I tv \ PI <br /> <br /> <br />Date Received <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Owner's Name <br /> <br />JOB ADDRESS <br /> <br />Fee Simple Titleholder Address I tJ \ A <br /> <br />I S~~b 5M~M.A <br />1'2.. \-t q. \1\""' ~ <br /> <br />LOT # <br /> <br />BUILDING SIZE <br /> <br />I <br /> <br />D NEW CONSTR D AD DIAL T [Z] <br />D INSTALL D REPAIR <br />D SFR D COMM D <br />[Z] BLOCK D FRAME D <br /> <br />I~~~ ~~ (l\) ".hJJ.OxA~, (~Acr) S;Q. ~r SIU'- <br /> <br />I SQ FOOTAGE I I HEIGHT I <br /> <br />SUBDIVISION <br /> <br />PARCELlD#1 \';).. % Q..., O()-lO oO:sro 00'10 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br /> <br />SIGN D MOVE D <br /> <br />DEMOLISH <br /> <br />WORK PROPOSED <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />OTHER <br />STEEL <br /> <br />I <br />D <br /> <br />OTHER I <br /> <br />DESCRIPTION OF WORK <br /> <br />- <br /> <br />1/lIIIIUIIlI_ -- <br /> <br /> <br />--11- <br /> <br />-~ <br /> <br />0 BUILDING <br />D ELECTRICAL <br />D PLUMBING <br />D MECHANICAL <br />D GAS <br /> <br />1$ li..f J \ ~Co <br />1$ <br /> <br />1$ <br /> <br />1$ <br /> <br />D ROOFING <br />FINISHED FLOOR ELEVATIONS <br /> <br />I <br />I <br />I <br />I <br />D <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C, <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />BUILDER COMPANY ~iCAL. ~FiAY'".... I <br />SIGNATURE REGISTERED Y N I FEE CURRENT " I Y IN I. <br />Address ~ License # I<:G-C- JS-/ Olio I <br /> ~ <br />ELECTRICiAN I COMPANY I <br />SIGNATURE REGISTEREO YI N FEE CURRENT Y/N <br />Address l License # I <br />PLUMBER I COMPANY I <br />SIGNATURE REGISTERED Y/N FEE CURRENT Y/N <br />Address License # I <br />MECHANICAL COMPANY I <br />SIGNATURE REGISTERED Y/N FEE CURRENT Y/N <br />Address License # I <br />OTHER COMPANY I <br />SIGNATURE REGISTERED YI N FEE CURRENT Y/N <br />Address License # I <br /> <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br />"0 <br /> <br />OTHER <br />DYES <br /> <br />DNO <br /> <br /> <br />SIGN PERMIT <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 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 />COMMERCIAL <br /> <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. (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 AfC Fences (Plot/Survey/Footage) <br /> <br />n.._ <br /> <br />Driveways-Not over Counter if on public roadwaysuneeds ROW <br />