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<br /> <br />Fee Simple Titleholder Address I <br /> <br />15734 <br />I <br /> <br />813-780-0020 <br /> <br />Date Received <br /> <br />Owne(s Nsme <br /> <br />Owne(s Address IS'73'1 <br />Fee Simple Titleholder Nsmel <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 />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />bJ!JLI.. <br /> <br />I <br />I <br />I <br />GALL BWD. Z~H. FL .3.35110>1 LOT# I I <br />I PARCELID#II J -,;:ip- dJ.- OOIDDc;)/'()CVO~S-Q <br />(OBTAINED FROM PROPERTY TAX NOTlCEl <br />CJ ADD/ALT ~ SIGN 0 MOVE 0 <br />D REPAIR <br />~ COMM D OTHER <br />D FRAME D STEEL 0 <br /> <br />()J1)~ l'IJolVUmefl)'T AIU.D ~ wR'-l. <br /> <br />SQ FOOTAGE I I HEIGHT I I <br /> <br />B <br />D <br />D <br />111V5rAi-l <br />I <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />DEMOLISH <br /> <br />OTHER I <br /> <br />I <br />I <br />s/bAJSI <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br /> <br />a BUILDING <br />J23.. ELECTRICAL <br />D PLUMBING <br />D MECHANICAL <br />D GAS <br /> <br />BUILDER <br />SIGNATURE <br /> <br />1$ ~ 'lSD, l'O I <br />. <br /> <br />1$ exl)TfNWI <br />1$ I <br />1$ I <br /> <br />D ROOFING D <br /> <br />D <br /> <br />D <br /> <br />AMP SERVICE <br /> <br />PROGRESS ENERGY <br /> <br />WR.E.C. <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />OTHER <br />DYES DNO <br /> <br />COMPANY <br />REGISTERED <br /> <br />I APPlE" $JblV + /lwlu11V~1 u.4 <br />I Y / N I FEE CURRENT L..r.Lt:!...J <br /> <br />License' I C-&A118/~ I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />Address <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />//s:,3S AJ. ~ /'IJAatGlJ ,,;w'I ~I) <br />I COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />L..r.Lt:!...J <br /> <br />FEE CURRENT <br /> <br />Address <br /> <br />License' <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />FEE CURRENT <br /> <br />L..r.Lt:!...J <br /> <br />Y / N <br /> <br />Address <br /> <br />License' <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />L..r.Lt:!...J <br /> <br />Y / N <br /> <br />FEE CURRENT <br /> <br />Address <br /> <br />License' <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />FEE CURRENT <br /> <br />L..r.Lt:!...J <br /> <br />Y/N <br /> <br />Address <br /> <br />RESIDENTIAL <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />License # <br /> <br />Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fonns; R-D-W Pennit for new construction, <br />Minimum ten (10) wor1<ing days after submittal date. Required onsite. Construction Plans, Stonnwater Plans w/ Silt Fence installed, <br />Sanitary Facilities & 1 dumpster; Site Work Pennit for subdivisionsllarge projects <br />Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Fonns. R-D-W Pennlt for new construction, <br />Minimum ten (10) working days after submittal date. Required onsita, Construction Plans, Stonnwater Plans w/ Silt Fence Installed, <br />Sanitary Facilities & 1 dumpster. SlIe Work Pennit for all new projects. All commercial requiremants must meet compliance <br />Attach (2) sets of Engineered Plans. <br />'*-PROPERTY SURVEY required for all NEW construction. <br /> <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 Attomey (for the owner) would be someone with notarized letter from owner eutholizing same <br /> <br />OVER THE COUNTER PERMITTING (Front of Application Only) <br />Reroofs Sewers Service Upgrades AlC Fences (Plot/Survey/Footage) <br />Driveways-Not over Counter if on public roadways..needs ROW <br />