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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br />1lf3 <br /> <br /> <br />Fee Simple Titleholder Address I <br />13(,05'1- 5"H liD Y 8l-vFP loop <br /> <br />I S; l.vERA-t)o /<)+,.J'CI-/ <br /> <br />Datl,1 Received <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Name I <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />__'lAI _ <br />s: BUILDING <br /> <br /> <br />Q,,",,-"E:.. <br />Be4V^1.c=>rJT AI/G" /IA-I-o\PA 3"3b~ <br />I <br /> <br />Owner Phone Number ~(3- t!5BE;, -7744 <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />1/~/3 <br /> <br />, <br /> <br />LOT# <br /> <br />B <br />~ <br />~ <br />I ~c.Y'ee;"7 <br />I <br /> <br />I <br /> <br />g:::j. ADD/ALT D <br />D REPAIR <br />D COMM D <br />D FRAME D <br /> <br />eOh7 w/ ~ Ro.!)~ <br /> <br />SQ FOOTAG: U ~ 1.00 <br /> <br />PARCEL ID#I 0'1 ZG 2..1 0060 00300 0/30 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br /> <br />D <br /> <br />MOVE D <br /> <br />NEW CONSTR <br />INSTALL <br /> <br />SIGN <br /> <br />DEMOLISH <br /> <br />OTHER I <br />STEEL D <br /> <br />dV h tSnAlG- <br /> <br />1 HEIGHT I ~t <br /> <br />SFR <br />BLOCK <br /> <br />OTHER I <br /> <br />fJaK.. <br />I <br /> <br />/1 )( (I <br /> <br />[$ <br />1$ <br />1$ <br />1$ <br />D <br /> <br />FINISHED FLOOR ELEVATIONS I <br /> <br />~A <br /> <br /> <br />Address I ?rt750 <br /> <br />ELECTRICIAN I <br />SIGNATURE . <br /> <br />Address I <br /> <br />PLUMBER I <br />SIGNA TURE <br /> <br />I <br /> <br />D ELECTRICAL <br />D PLUMBING <br />D MECHANICAL <br />D GAS <br /> <br />BUILDER <br />SIGNA TURE <br /> <br />~-- -- <br /> <br />--- <br /> <br />~..._----- "'!III- <br /> <br />1M ..---w <br /> <br />BIlIUItr <br /> <br />1 <br />1 <br />I <br />I <br />D <br />I <br /> <br />DNO <br /> <br />2-'1 3t;", 00 <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D <br /> <br />D <br /> <br />AMP SERVICE <br /> <br />PROGRESS ENERGY <br /> <br />W.RE.C. <br /> <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />ROOFING <br /> <br />SPECIALTY D OTHER <br />FLOOD ZONE AREA DYES <br /> <br /> <br />COMPANY <br />REGISTERED <br /> <br /> <br />~s. fCj ~ 7:;RPorJ SPJZ/";bS/~L Jc.f~ <br />I COMPANY I <br />REGISTERED <br /> <br />I I<x CO""tfSV <br /> <br />License # <br /> <br />Y / N FEE CURRENT <br /> License # <br />Y / N FEE CURRENT <br /> License # <br />Y/ N FEE CURRENT <br /> License # <br />Y / N FEE CURRENT <br /> License # <br /> <br />Y/N <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />MECHANICAL I <br />SIGNATURE <br /> <br />Address I <br /> <br />OTHER I <br />SIGNA TURE <br /> <br />Address I <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />;;11__- <br /> <br />-~ <br /> <br />!!II:!III_--- <br /> <br />- <br /> <br />RESIDENTIAL 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 />COMMERCIAL. 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 />SIGN PERMIT Attach (2) sets of Engineered Plans, <br />--..PROPERTY SURVEY required for all NEW construction. <br />'-~L...IIlIII_ildJ'-._"" 1!IIiiiII~ -~... If" -i&.."'- --....BiIIiiIIP.... iii Il>- - _ __ __ -w _ <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 />OVER THE COUNTER PERMITTING (Front of Application Only) <br />Reroofs Sewers Service Upgrades AlC Fences (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />