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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 />Owner's Name <br /> <br /> <br />N <br /> <br />Owner Phone Number (813) 503-1497 <br />Owner Phone Number 1(813)503-1497 <br />Owner Phone Number I <br /> <br />Date Received <br /> <br />Fee Simple TiUeholder Address n / a <br /> <br />JOB ADDRESS <br /> <br />6026 N. Gall <br /> <br />D <br /> <br />.S <br /> <br />PROPOSED USE c=J <br />TYPE OF CONSTRUCTION c=J <br /> <br />~emc <br /> <br />0/A: I <br /> <br />:: ~j; <br />I' ur <br />1$ 1\.); ~ <br /> <br />c=J ROOFING <br /> <br />NEW CONSTR <br />INSTAlL <br />SFR <br /> <br />BLOCK <br /> <br />Blvd. , Zephyrhills, FL LOT# <br /> <br />I PARCELID#103-26-21-001O-12800-001O <br />(OBTAINED FROM PROPERlY TAX NOTICE) <br />D ADD/ALT c=J SIGN D MOVE D <br />o REPAIR <br />~ COMM c=J OTHER <br />D FRAME D STEEL <br /> <br />. ii--i <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />DEMOLISH <br /> <br />BUILDING <br /> <br /> <br />I <br />~ <br /> <br />I <br />OTHER rvi "I-'-. ::c.r-.~\I\ <br />Ol- qcroJ~i <br />q/ b- -ro...n 'K-'i::::. <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />VAlUATION OF TOTAL CONSTRUCTION <br /> <br />D <br /> <br />D <br />D <br /> <br />ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGV <br /> <br />WR.E.C. <br /> <br /> <br />FEE CURRENT Y <br />License' I.pCCU.:>JYY 1 <br /> <br />1~cc.J ;r~c:.... <br />I YI N I FEE CURRENT ~ <br /> <br />License' IE CoO () / 7 5 If <br /> <br />PLUMBING <br /> <br />MECHANICAL <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br /> <br />VAlUATION OF MECHANICAL INSTALLATION <br /> <br />D SPECiAlTY ~THER <br />FLOOD ZONE AREA DVES ~ <br /> <br />D <br /> <br />GAS <br /> <br />II <br /> <br />~::.!crec~ <br /> <br /> <br /> <br />ELECTRICIAN I .---;~ ~ ~ .// I COMPANY <br />SIGNATURE . ~ ~ . REGISTERED <br /> <br />Address 133"3 .5 5 R Lj' S ()~~ FL .5)7~ft <br /> <br />PLUMBER I I COMPANY <br />SIGNATURE REGISTERED <br /> <br />I <br /> <br />COMPANY <br />REGISTERED <br /> <br />VI N <br /> <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />I CJ <br />0l-I'~C~r1 ,ofi:1n / ~ <br />I FEE CURRENT ( ?~~') .J <br />License' I el4'l 0 , :+-'-1511 :; <br />Co <br /> <br />1(j5~ oG <br /> <br />FEE CURRENT <br /> <br />~ <br /> <br />Address <br /> <br />MECHANICAL I <br />SIGNATURE <br /> <br />License . <br /> <br />COMPANV <br />REGISTERED <br /> <br />Add"'~$ <br /> <br /> <br />YI N <br /> <br />FEE CURRENT <br /> <br />~ <br /> <br />" <br /> <br />OTHER <br />SIGNA TURf <br /> <br />I~n <br />yim <br /> <br />License . <br /> <br />Address <br /> <br />RESIDENTIAL <br /> <br />Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fonns <br />Minimum ten (10) working days after submittal date. Required onsne, Construction Plans, Sannary Facilities & 1 dumpster <br />Attach (3) sets of Building Plans; (1) set of Energy Forms. <br />Minimum ten (10) wor1<ing days after submittal date. Required onsne, Construction Plans, Sannary 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 01 Attorney (for the owner) would be someone with notarized letter from owner authorizing same <br /> <br />OVER THE COUNTER PERMlmNG (Front of Application Only) <br />Reroofs Sewers Service Upgrades AlC <br /> <br />Fences (PlotlSurveylFootage) <br /> <br />Driveways-Not over Counter if on public roadways. .needs ROW <br />