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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br />Date Received <br /> <br /> <br /> <br />Owner Phone Number <br /> <br />5-1u,-07 <br />LL <br />Owne', Add~" I ~~. ~ ~ Dr. 7jXl fi j~1, Phoee N.mbe, I <br /> <br /> <br />Fee Simple Titleholder Name --.1/ ~ _o~ _ Owner Phone Number I <br /> <br /> <br />Fee Simple Titleholder Address I ;;;J5 t:>:J. f20cJc If Pf. ]::Jr. 7Ztmpa) f:i <br /> <br />I If) OlD S/II/IJ.I'adn Ptlftch Blvd. <br /> <br />~ ~)SilveradDI PARCELID#IO't-OliP...at-tJo{q()- ooA()o-()ooo <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />[0 NEW CONSTR D ADD/AL T ~ D MOVE D <br />D INSTALL D REPAIR <br />PROPOSED USE D SFR D COMM <br />TYPE OF CONSTRUCTION ~ BLOCK D FRAME <br /> <br />Owner's Name <br /> <br />JOB ADDRESS <br /> <br />o~~D7 <br />I <br /> <br />LOT # <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />DEMOLISH <br /> <br />DESCRIPTION OF WORK <br />BUILDING SIZE <br />~ BUILDING 1$ ""'15, CJO(!:> . I <br />D ELECTRICAL 1$ 1 <br />D PLUMBING 1$ I <br />D MECHANICAL 1$ 1 <br />D GAS D ROOFING D <br />FINISHED FLOOR ELEVATIONS 1 I <br /> <br /> <br />OTHER <br />STEEL <br /> <br />I <br />D <br /> <br />OTHER I <br /> <br />/31 a::I. M- ell <br />V"klfJt. evcfry t~ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE D PROGRESS ENERGY <br />(\0 elec/Yiut1 ~VV;(e Jl\tZded. , <br /> <br />rJOL Q~c9 <br /> <br />VALUATION OF MECHANICAL INSTALLATION ~ CJA-\;- <br /> <br />-f~I?e# <br />~ ~ ' <br />DNO ~';~rs~/~ <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />OTHER <br /> <br />DYES <br /> <br />Address <br /> <br />I I ;~~;= IC1{~N~c.~d~ <br />1%70 l3ellM1tj &o#taY.5 Blve{ ~ it! ~ License # I <br /> <br />I COMPANY I <br />REGISTERED <br /> <br />I <br /> <br />I <br />I <br />I <br />I <br />I <br />I <br />I' <br />I <br />I <br />I <br /> <br />. /J BUILDER <br />~ SIGNATURE <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />Y / N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <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 />Address <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />RESIDENTIAL <br /> <br />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 />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 />Attach (2) sets of Engineered Plans. <br />....PROPERTY SURVEY required for all NEW construction. <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <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 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 NC Fences (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />