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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-a13-78rUJ021 <br /> <br />Date Received <br /> <br />tr1DP5 <br /> <br />I <br />I <br />I <br />)C\-\+\3- (Qrhirhllk {l 33Slll I LOU I I <br />I PARCELID#lJJ-cl((')~~l-~I()-044ffi-OO~b <br /> <br />(OBTAINED FROM PROPERTY TAll NOTICE) <br /> <br />E3 ADD/ALT 0 SIGN D MOVE 0 <br />REPAIR <br /> <br />o COMM DornER I <br /> <br />o FRAME D STEEL D P <br /> <br />/8(33 [~(Kk ~*~~ <br /> <br />I SQ FOOTAGE I I HEIGHT L <br /> <br />Do '""""" :: (g<f I 02-'1 .~ V"v",,,,,o,,,,,,,,,,,",,,,,,,,,,,, <br />ELECTRICAL . _ AMP SERVICE 0 PROGRESS ENERGY <br /> <br />o PLUMBING 1$ I <br /> <br />o MECHANICAL 1$ I <br /> <br />o GAS D ROOFING 0 <br />FINISHED FLOOR ELEVATIONS I I <br /> <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 <br /> <br />l,=)<142> <br />I <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />B <br />[2g <br />o <br />I <br /> <br />SFR <br />BLOCK <br /> <br />NEW CONSTR <br />INSTALL <br /> <br />DEMOLISH <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCllON <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />ornER <br /> <br />o <br />l "'~ V 'J-- <br />fVU () fetJ'f'J <br />G "Z-tl.d ,rfJ'~ ~~ J{) <br />{!; ().A fiT I' <; <br />ONO{\) rJe~. <br /> <br />WR.E.C. <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />tPl~ <br /> <br />DYES <br /> <br />BUILDER <br />SlGNAllJRE <br /> <br /> <br />COMPANY <br />REGISTERED <br /> <br />License # <br /> <br />~~-~~E~~I~ <br />,"-' 11<c\~t' <br />ID'WIV\I'::> w;ll\~c. <br />~ FEE CURRENT Y / N <br />License # I CfC. N :;1.5 ~ ~ ~ <br /> <br />I ~i ~LU~ENTto ~1\ i <br />License # ICACOS8S'7s-1 <br />I <br />I <br /> <br /> <br />Address <br /> <br />PLUMBER <br />SIGNAllJRE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />Address <br /> <br />OTHER <br />SIGNAllJRE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Ui..!i...J <br /> <br />FEE CURRENT <br /> <br />~ <br /> <br />Address <br /> <br />License # <br /> <br />RESIDENTIAL <br /> <br />AIIach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms <br />Minimum ten (10) wor1<ing days after submittal date. Required onsrte, Construction Plans, Sanitary Facilrties & 1 dumpster <br />Attach (3) sels of Building Plans; (1) set of Energy Forms. <br />Minimum ten (10) working days after submittal date. Required onsile, Construction Plans, Sanitary Facilrties & 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. lAIC upgrades over $5000) <br /> <br />Agent (for the contractor) or Power of Attorney (for lhe 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 (PloIISurveylFootege) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />