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<br />.813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fa X-lf1tZ ( <br /> <br /> <br />Date Received <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Name <br /> <br />Owner Phone Number <br /> <br /># Owner Phone Number <br />~y/ <br /> <br />Owner Phone Number I <br /> <br />Fee Simple Titleholder Address I <br /> <br />:JKHQ /-)#tJ"'~72-~V AZ> I LOa I <br />r PARCELlD#I~-o1{.a;'t1c7/0-cJd6~ -00/0 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN /~ MOVE 0 <br /> <br />JOB ADDRESS <br /> <br />o <br />o <br />o BLOCK D FRAME 0 STEEL D OTHER I <br />Iov~. MC4</(/AHN// 5/(5'--,) ?C>U6U.t:;:-- ~'Y?I'r'.//,,/'< <br />I SQ FOOTAGE I ~ Or I HEIGHT I <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />B <br />D <br /> <br />COMM <br /> <br />B <br />D <br /> <br />NEW CONSTR <br />INSTALL <br /> <br />ADD/AL T <br />REPAIR <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />SFR <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />DEMOLISH <br /> <br />OTHER <br /> <br />f!~"\~"~~Yi~,ft:~!~if.~!'tt~~m~~.i!~'ti~~PJrllr~_~7tIl',-~~a~w..llOOOO <br /> <br />~ BUILDING 1$/({/CJd~ I VALUATION OF TOTAL CONSTRUCTION <br />)Xl ELECTRICAL 1$ /OO~ I AMP SERVICE D PROGRESS ENERGY D W.R.E.C. <br />0 PLUMBING 1$ I <br />0 MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION <br />0 GAS D ROOFING D SPECIALTY 0 OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />Address <br /> <br /> <br />MECHANICAL I <br />SIGNATURE . <br /> <br />Address I <br /> <br />OTHER I <br />SIGNATURE <br /> <br />Address I <br />[j'B':I~:?"'!lf~F.m~'f,fiE:~-;~~~~~!,J~;~~s~~:1f$~~~~~~~= ~~'l);;~~~~~:W~.[~:t:;;-1!W'a~--:wl!I~J.,~taI'."'~Hi1iI~ <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 />~~.~if~z~4~'~~~If~~~~~~~~~~1~~~~_ ~~;,;j'~lI1jij_~~_ <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. (A/C 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 />t~~;r~~~~i;[~~_. <br /> <br />~~. <br /> <br />BUILDER <br />SIGNATURE <br /> <br /> <br />Address <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />COMPANY <br />REGISTERED <br /> <br />COMPANY <br />REGISTERED <br /> <br />RESIDENTIAL <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />OVER THE COUNTER PERMITTING (Front of Application Only) <br />Reroofs Sewers Service Upgrades A/C <br /> <br /> <br /> License # <br />Y I N FEE CURRENT <br /> License # <br />Y I N FEE CURRENT <br /> License # <br />Y I N FEE CURRENT <br /> License # <br /> <br />Y/N <br /> <br />Y/N <br /> <br />Y/N <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br /> <br />Fences (PloUSurvey/Footage) <br />