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<br />813-780.0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />+f 1 SJq Fax-813-780-0021 <br /> <br /> <br />Date Rece/ved <br /> <br />Owner's Address <br /> <br />. OWner Phone Number <br /> <br />Owner Phone Number I&?J~ 16 d- . /;). [f)- <br />Owner Phone Number I <br /> <br />Fee Slmp/e Titleholder ~ame <br /> <br /> <br />Fee Simple Titleholder Address ., <br /> <br />JOB ADDRESS <br /> <br />les8SS <br />I <br /> <br />lCJ-u. <br /> <br />~, <br /> <br />LOT# I <br /> <br />SUBDlVIS/ON <br /> <br />PARCEL/Oil <br /> <br />(qaT AINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D DEMOLISH <br /> <br />WORK PROPOSED <br /> <br />B <br />o <br />o <br />12~ Sh[~h <br />Is~ FOOTAGE I <br /> <br />NEW CONSTR <br />INSTALL <br /> <br />SFR <br />BLOCK <br /> <br />I <br />B <br />D <br />D <br /> <br />D <br />o <br />D <br />5 D n{//C <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br />FRAME <br /> <br />I <br />I <br />I <br /> <br />aUILDING SIZE <br /> <br />OTHER I <br />STEEL D OTHER I <br /> <br />.M~^OOI <br /> <br />HEIGHT I <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />DESCRIPTION OF WORK <br /> <br />I ~ . I. I I . . . . I I I . . . I I . I I I I I I I 1-' I I ," . . . . '. I I I . . " ~ . . . . . . . . .1 1 . ~ . . 1 I . . . . . 1 . . 1 .. . . I 1 . . . . 1 . . . 1 . . . I . . I I . I . I I . . . . . 1 . . . . . . . . . . . . . . . . . . . . . 1 I . . I . . . . . . . . . . . . . . . . . . . <br /> <br />0 BUILDING 1$ 3. ,-/(pO c;9 I VALUATION OF TOTAL CONSTRUCTION <br />D ELECTRICAL 1$ I AMP SERVICE D PROGRESS ENERGY D W.R.E.C <br />D PLUMBING 1$ I ~~/~ <br />D MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION <br /> .. b(t <br />D GAS 0 ROOFING D SPECIALTY 0 OTHER W~ <br />FINISHED flOOR elEVATIONS FLOOD ZONE AREA DYES DNO <br /> <br />BUILDER <br />SIGNATURE <br /> <br /> <br /> <br />SIGN PERMIT <br /> <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br /> <br />Address I license # I I <br />1I11I 111II 11111 11111 11111 11111 111I1 III! 1111111111111/11111111111111111111111111 i IIIIIIIIIII/IIIII/IIIIIIIIIIIIII/IIII/IIIIIIIIIIIIJ II11111111I1I1I <br />RESIDENTIAL Attach (2) Plot Plans; (2) sl;lts of Building Plans; (1) set of Energy Forms <br />Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanllary Facilities & 1 dumpster <br />Attach (3) sets of Building Plans; (1) set of Energy Forms. <br />Minimum ten (10) working days after submittal date. Required onslle. Construction Plans, Sanilary Facilities & 1 dumpsler <br />All commercial requirements must meet compliance. <br />Attach (2) sets of Engineered Plans. <br />....PROPERTY SURVEY required for all NEW construction. <br />11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 II 1111111 <br />Directions: ... <br />Fill out application completely. <br />Owner & Contractor sign back of application, notarized <br />If oyer $2500, a Notice of Commencement /s 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 <br /> <br />OVER THE COUNTER PERMITTING (Front of Application Only) <br />Reroofs Sewers Service Upgrades AlC <br /> <br />COMPANY <br />REGISTERED <br /> <br />I'-/~;~ -f(~RENT c;(Of~' f~L . <br /> <br />License # I c Cc... o~g/ 1 y <br /> <br />Address <br /> <br />ELECTRIC/AN I <br />SI~NA TURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />. FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />license # <br /> <br />COMPANY <br />REGISTERED <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />license # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />Address <br /> <br />license # <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />I YI N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />COMMERCIAL <br /> <br />Driveways <br /> <br />Fences <br /> <br />