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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />#'10.5'q Fax-813-780-0021 <br /> <br /> <br />Date Received <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Name <br /> <br />Owner Phone Number <br /> <br /> <br />Owner Phone Number I <br /> <br />~357f/ I <br />Owner Phone Number <br /> <br />Fee Simple Titleholder Address I <br /> <br />107r--.J~ /I!~~/~4Z-k2TS CT <br />I I PARCEL ID# 13'(olS'-d./-cJClto~ uOOcJO -()030 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />D NEW CONSTR CJ ADD/ALTO SIGN ~ MOVE 0 <br />D INSTALL CJ REPAIR <br />D SFR CJ COMM 0 OTHER <br />TYPE OF CONSTRUCTION 0 BLOCK D FRAME 0 STEEL D <br /> <br />0/~ /UO~UPt--N7. 5/6,,) /;;611006- 6~/.f/fi1/6 <br />, <br /> <br />BUILDING SIZE I SQ FOOTAGE I 5~ CJY I HEIGHT I <br />""""1~"!'"",,!.,!,!,,~~~l!;',~!lIi~"I'JII'-I!r,~~~II!I~"1i"11l1l!VlJ~~~!1l,!I\~__~l!IIll!!l!!l"';u!! <br /> <br />~ BUILDING 1$;1 too ~ I VALUATION OF TOTAL CONSTRUCTION <br />'/ <br />I$/mc~ <br /> <br />, <br /> <br />1$ <br />1$ <br />D <br /> <br />JOB ADDRESS <br /> <br />LOT # <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />PROPOSED USE <br /> <br />DESCRIPTION OF WORK <br /> <br />~ <br /> <br />D <br /> <br />PLUMBING <br /> <br />I <br />I <br />I <br />D <br /> <br />SPECIALTY 0 <br />FLOOD ZONE AREA <br /> <br />ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />MECHANICAL <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />Address <br /> <br /> <br />MECHANICAL I <br />SIGNATURE . <br /> <br />Address I <br /> <br />OTHER [ <br />SIGNATURE <br /> <br />Address I <br /> <br />f~~;7:~2?-'E~1;:R;'€:111~~~~~...._ -~.,.;.,... """. ..._~~~~~~"~~~[rJll_=;;ilj:.~IJ~ <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 />~,~';;~~~#:;~~!1f~~g~~~~~.~~~~~_~ ~'!!~~.=>......M;~~~~itiR".""..,...~"t~~ <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 $5000) <br /> <br />Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same <br /> <br />D <br /> <br />GAS <br /> <br />ROOFING <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />BUILDER <br />SIGNATURE <br /> <br /> <br />t~:~0f::;~~;~~~~].;~~;:; ::. <br /> <br />Address <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />COMPANY <br />REGISTERED <br /> <br />COMPANY <br />REGISTERED <br /> <br />OVER THE COUNTER PERMITTING (Front of Application Only) <br />Reroofs Sewers Service Upgrades A/C <br /> <br />DEMOLISH <br /> <br />OTHER I <br /> <br />D <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />W.R.E.C. <br /> <br />OTHER <br /> <br />DYES <br /> <br />DNO <br /> <br /> <br />B"'.~U...H","I 'il';,~niil;J1fi'l\it.~. .1Lijill!i;;i$~i!!g <br /> <br /> <br />S?6AJ <br /> <br />FEE CURRENT <br /> <br />License # <br /> <br />License # <br /> <br />I ~OCJcKX}cJ...? <br /> <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 />Y/N <br /> <br />Y/N <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br /> <br />Fences (Plot/Survey/Footage) <br />