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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-78Q-0021 <br /> <br />JOB ADDRESS <br /> <br />oS <br />~~h 4-11"\ ~ toY'\ 0 IZ- <br />"lA- <br /> <br />Fee Simple TItleholder Address I il A <br />I b l..f I )... '\-ilAV\ -+\l~' ~ tv '"' <br />IStlve.r 6A'l.S qh -I <br /> <br /> <br /> <br /> <br />L>~ <br /> <br />q _\ ,-0 <br />Owner's Name tv\ \ ~ ~ \ <br />Owner's Address I b \.{ I J- <br />Fee Simple TItleholder Name I <br /> <br />Date Received <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />DESCRIPTION OF WORK <br /> <br />I <br /> <br />D NEWCONSTR D ADD/ALT D <br />D INSTALL D REPAIR <br />D SFR 0 COMM D OTHER <br />D BLOCK D FRAME D STEEL D OTHER I <br /> <br />I Sc... ( ~V"\ E"" c,JOj i---( <iL 0 J.JL r ~ 00 f II 2J<. 2..:0 ~ I tj }C / \) <br /> <br />sa FOOTAGE L ,() ,J. 0 I HEIGHT I ~ I <br /> <br />YJ(L <br /> <br />PARCELlDf:\ '3- "2,(,....Z.I-'Ol 2.0 -00000 -O~ ~ \,) <br />(OBTAINED FROM PROPERTY TAX N011CE) <br />SIGN D MOVE D <br /> <br />LOTI <br /> <br />1'\"6 <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />DEMOLISH <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />~o..~ eo"f. <br /> <br />BUILDING SIZE <br /> <br />~ BUILDING <br />D ELECTRICAL <br />D PLUMBING <br />0 MECHANICAL <br /> <br />$ IlIS,C1 <br />$ <br /> <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />OTHER <br /> <br />PROGRESS ENERGY / CI W.R.E.c: <br />(\JOe . \L..- . tU"'lt <br /> <br />1-'" J\ ~ <br />Coil w g oJ.- <br />-ty <br /> <br />DNO <br /> <br />1$ <br />1$ <br /> <br />o GAS D <br />FINISHED FLOOR ELEVATIONS I <br /> <br />ROOFING <br /> <br />I <br />I <br />o <br />I <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />DYES <br /> <br />BUILDER <br />SIGNATURE <br /> <br />_ <- Galt ~oTT~1!.. <br />.) \;).. ~ /}'\. c.-,::r:-V\~ Jh Q.J <br /> <br />~nT I :.~~= <br />(Juv..e...(' " ~ "335",-,1 <br />. <br /> <br />I COMPANY <br />REGISTERED <br /> <br />R.oV\. - L <br />I@N I <br /> <br />A\.I.A........ 1i"'.\A.YV\ <br />FEE CURRENT ~N I <br /> <br />License # I S;'cc... OS~6 ~;)... <br /> <br />Address <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />Y/N FEE CURRENT <br /> License f. <br />YI N FEE CURRENT <br /> License I <br />YI N FEE CURRENT <br /> License I <br />Y I N FEE CURRENT <br /> License I <br /> <br />Y/N <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />MECHANICAL I <br />SIGNATURE . <br /> <br />Address I <br /> <br />~~~~URE I <br /> <br />Address I <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />RESIDENTIAL <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 />SIGN PERMIT <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. (AIC 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 (PlotlSunley/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />