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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fa*31~39 <br /> <br /> <br /> <br />, ' <br />Date Received <br /> <br />Owner's Address <br /> <br />17(J)() <br /> <br />Z9?Zl?/J ~ . 'ft/.v,5J~?r/NC- <br /> <br />a;fu.&,~ vD ZV7">~)" ~1"/r~c.r4~-r~ <br />I\I'~ I <br /> <br />Fee Simple- Titleholder Name I <br /> <br />Owner Phone Number <br /> <br /> <br />Owner Phone Number I <br /> <br /> <br />Owner Phone Number I <br /> <br />Fee Simple Titleholder Address I <br /> <br />I-:?!?OI/ ./!-/llfCl/C <br />1h2t?c#~ /?rP~c-- <br /> <br />JOB ADDRESS <br /> <br />LOT # <br /> <br />/6/J6 e- -,,(}~ <br /> <br />I <br /> <br />CJ ADD/AL T rv1 SIGN D <br />c::=J REPAIR ~ ../ <br />D COMM D OTHER I ~..>/~ ~ <br />D FRAME D STEEL D OTHER I I <br /> <br /><:b~CJGUl/;tJ 5/6/;~~~U,.D/d ~if/rUG" cC-?CC. 9lc?l//J~- <br />, <br /> <br />SQ FOOTAGE I %, 7S- I HEIGHT I II' I <br /> <br />PARCEL ID# I <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />B <br />D <br />D <br />1/~/f7)ftL <br />I <br /> <br />NEW CONSTR <br />INSTALL <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />SFR <br /> <br />BLOCK <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />(!;~;;~~f!;11t';:W~tJ~;'%~!\!i)1W!!!;'kllMtI'~r.1l;r;w~AA!r~ri!tt'~l'HfiJ!;'1lh~tll'f;J";'f;.m~rw~ <br /> <br />~ <br />SlJ <br />D <br />D <br /> <br />-- <br /> <br />BUILDING <br /> <br /> <br />AMP SERVICE <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br /> <br />MOVE D <br /> <br />DEMOLISH <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />WREC. <br /> <br />ELECTRICAL <br /> <br />. PLUMBING <br /> <br />1$ <br />1$ <br />D <br /> <br />FINISHED FLOOR ELEVATIONS I <br /> <br />I <br />I <br />D <br />I <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />MECHANICAL <br /> <br />D <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />D <br /> <br />GAS <br /> <br />ROOFING <br /> <br />c&""]E;.1k4.,liEm;;;,,,iE <br /> <br /> <br />BUILDER <br />SIGNATURE <br /> <br />Address <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br />OTHER <br />DYES <br /> <br />DNO <br /> <br /> <br />License # <br /> <br /> <br />License # <br /> <br />Y/ N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />Y / N <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />License # <br /> <br />Y / N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />5:~~~"'i:E;l1,'!:"'$~~~~~~~~~~~~~:_~:'r_=1~~~~:i1\:~:'~ J__};!b;,J~'?'"i!li!:r~'~.~~;_lq~ilJ,Jf'ti)jK3J ii:_"~~_^,i!W~IiIOIiiiilj[:'iliJ}Wj)!~il'.i':II_!li:iii'ii1Ji(~P,liJillit~i:.;vf"9ijli.~:'JO:W_;~jE~ <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 />rl!'l1\iiW<~~l~!i\lli!\i!'i!"ili'ii'!~iil:~ll'~i!!1!!!.~~~~~:ft~_II!D._~...____.'!I!I..I~__.._.._.__.I!IIiII!I <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 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 <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br /> <br />Fences (Plot/Survey/Footage) <br />