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<br />813-18C'0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br /> <br />1$/2- ,15~ SO <br />1$ <br />1$ <br />1$ <br /> <br />D GAS ~ ROOFING <br />FINISHED FLOOR ELEVATIONS I <br /> <br />Date Received <br /> <br />ler's Name <br /> <br />Owner's Address <br /> <br /> <br />Fee Simple Titleholder Name I <br /> <br />Fee Simple Titleholder Address <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 />U2(" <br /> <br />BUILDING <br /> <br />D ELECTRICAL <br />Ll PLUMBING <br />D MECHANICAL <br /> <br /> <br />~~.:. <br />b ?J ZH 3~'39"tll <br />~ (WG - \'\4.u\"\\...L';o <br />. <br /> <br />N~ I <br /> <br />Owner Phone Number <br /> <br /> <br />Owner Phone Number I <br /> <br /> <br />Owner Phone Number I <br /> <br />B <br />D <br />D <br />I S~t\V\G \e <br /> <br />Da.L Rl..l.n (h"'cl~l D'fY\'-{(lt\\\ts rL- LOT # <br /> <br />I PARCELlD#1 3'1: - 2.5- 2...1. lldllU- t}u3.:J0' 0 l.:::i::J <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />EJ ADD/ALT D SIGN D MOVE D <br />REPAIR <br />D COMM D <br />D FRAME D <br /> <br />fk -R~ 13 t\l L::> 25 't __ 3"i;lJ..? <br /> <br />I SQ FOOTAGE I <br /> <br />311m./'J7711 <br />Ot'W-R~ <br /> <br />NEW CONSTR <br />INSTALL <br /> <br />DEMOLISH <br /> <br />I 'Kl.. -1<.00 F <br />D OTHER I <br /> <br />SFR <br /> <br />OTHER <br />STEEL <br /> <br />BLOCK <br /> <br />{;,.\\.\t.. 6\~\.':o Se...l <br />I HEIGHT I <br /> <br />NL <br /> <br />fL ~~(' <br /> <br />I <br /> <br />1051".,.\ <br /> <br />- <br /> <br />I <br />I <br />I <br />I <br />D <br />I <br /> <br />DNO <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D <br /> <br />D <br /> <br />WR.E.C, <br /> <br />PROGRESS ENERGY <br /> <br />AMP SERVICE <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIAL TV D <br />FLOOD ZONE AREA <br /> <br />OTHER <br />DYES <br /> <br /> <br />BUILDER <br />SIGNATURE <br /> <br />Address <br /> <br />Y(l~~r ~~~E~TCA\ 4'0~( f <br />License # I CCC- 05/ 5LJ ~ <br /> <br />COMPANY <br />REGISTERED <br /> <br />3~3 <br /> <br />I <br /> <br />ELECTRICIAN <br />SIGNA TURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Y/N FEE CURRENT <br /> License # <br />Y / N FEE CURRENT <br /> License # 1 <br />Y/N FEE CURRENT <br /> License # <br />Y I N FEE CURRENT <br /> License # <br /> <br />Address <br /> <br />PLUMBER <br />SIGNA TURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />MECHANICAL <br />1NATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />OTHER <br />SiGNATURE <br /> <br />COMPANY <br /> <br />Y/N <br /> <br />REGISTER:=O <br /> <br />Address <br /> <br />I <br /> <br />III HI -- - -- -- <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 />-....a_ --- <br />rections: <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 />---- <br /> <br />~1IIIIliIIIII <br /> <br />OVER THE COUNTER PERMITTING (Fronl of Application Only) <br />Reroofs Sewers SeNice Upgrades NC <br /> <br />Fences (plotlSuNey/Footage) <br /> <br />Driveways-Not over Counter if on public roadwaysHneeds ROW <br />