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<br />81:>,780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax,8 13-780-0021 <br /> <br />Date Received <br /> <br /> <br />tt 1tlCf <br /> <br />Owner's Name <br /> <br /> <br />:=::..~ <br /> <br />rf <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Fee Simple TiUeholder Address I <br /> <br />~lt1a.-lf' p~ C;t- <br />!S.tf'lSeJ ~s. in US I <br />E3 <br />D <br />D <br />D<SC.PTIO'OFWO~ 1130 r::-t W00~ <br /> <br />BUILDING SIZE I SQ FOOTAGE . <br /> <br />wCiJ.CO <br /> <br />JOB ADDRESS <br /> <br />LOT # <br /> <br />SUBDIVISION <br /> <br />PARCELlD# I <br /> <br />WORK PROPOSED <br /> <br />D JlEW CONSTR <br />~INSTALL <br />~ SFR <br />D BLOCK <br /> <br />D <br /> <br />D <br />D STEEL D <br /> <br />priV~C-l1~ R:.n L -L <br /> <br />I HEIGHT I <br /> <br />ADD/AL T <br />REPAIR <br /> <br />COMM <br /> <br />FRAME <br /> <br />(OBTAINED FROM PROPERTY TAX NOnCEI <br />MOVE D <br /> <br />SIGN <br /> <br />D <br /> <br />DEMOLISH <br /> <br />PROPOSED USE <br /> <br />TYPE OF CONSTRUCTION <br /> <br />OTHER <br /> <br />OTHER I <br /> <br />D <br /> <br />1$ <br /> <br />D ELECTRICAL 1$ <br /> <br />D PLUMBING 1$ <br /> <br />D MECHANICAL 1$ <br /> <br />D GAS D <br />FINISHED FLOOR ELEVATIONS I <br /> <br />ROOFING <br /> <br />I <br />I <br />I <br />I <br />D <br />I <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W,R,E.C. <br /> <br />BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />OTHER <br />DYES <br /> <br />DNO <br /> <br />BUILDER <br />SIGNATURE <br /> <br />~vi(.L- <br /> <br />~~~~~ 4tS':i<-;E~U~~~ <br /> <br /> <br />License # I <br /> <br />Address <br /> <br />ELECTRICIAN I <br />SIGNATURE <br /> <br />Address I <br /> <br />PLUMBER I <br />SIGNATURE <br /> <br />I <br /> <br />COMPANY <br />REGISTERED YIN FEE CURRENT ~ <br /> License # <br />COMPANY <br />REGISTERED YI N FEE CURRENT ~ <br /> License # <br />COMPANY <br />REGISTERED YIN FEE CURRENT ~ <br /> License # <br />COMPANY <br />REGISTERED YI N FEE CURRENT ~ <br /> License # <br /> <br />Address <br /> <br />MECHANICAL I <br />SIGNATURE . <br /> <br />Address I <br /> <br />~:N~~RE I <br /> <br /> <br />Address I <br /> <br />RESIDENTIAL <br /> <br />Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms <br />Minimum ten (10) wor1<ing 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) wor1<ing 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. (AlC upgrades over $5000) <br /> <br />Agent (for the contractor) or Power of AI10mey (for the owner) would be someone with notarized letter from owner authorizing same <br /> <br />OVER TliE COUNTER PERMITTING (Front of Application Only) <br />Reroofs Sewers Service Upgrades AlC <br /> <br />Fences (PlollSurveylFootage) <br /> <br />Driveways-Not owr Counter if on public madways..needs ROW <br />