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<br /> <br />Fee Simple Titleholder Address I <br /> <br />1SC13>? IlD""' sr- <br />I <br /> <br />813-780-0020 <br /> <br />Date Received <br /> <br />Owner's Name <br /> <br />Owner's Address !..5Qaf <br /> <br />Fee Simple Titleholder Name I <br /> <br />JOB ADDRESS <br /> <br />SUBDIVlSION <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 />.!.Y.) L Q..LJJ <br />:;?"' '(IU IO <br /> <br />1ft> ill <3r" <br /> <br /> <br />ftJ <br />7;1,7, bf7 -)'ff'~ <br />I <br />I <br />I LOU I / b I <br />PARCELID#I,I- 2h -,J,J -COIO -of/.ztlO -0/ sol <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />I <br />~ <br />D <br />D <br />I ~'-4A'" EU.cr:6c. <br /> <br />. SQ FOOTAGE I <br /> <br />MOVE D <br /> <br />D <br /> <br />D <br /> <br />DOTHER <br />D STEEL D OTHER I <br />7iMre~ ~tiiI~ <br /> <br />l HEIGHT I I <br /> <br />B <br />D <br />D <br /> <br />DEMOLISH <br /> <br />SIGN <br /> <br />ADD/AL T <br />REPAIR <br /> <br />COMM <br />FRAME <br /> <br />NEW CONSTR <br />INSTALL <br /> <br />SFR <br />BLOCK <br /> <br />1$ <br />1$ <br />1$ <br />1$ <br />D <br /> <br />FINISHED FLOOR ELEVATIONS 1 <br /> <br />D BUILDING <br />D ELECTRICAL <br />~ PLUMBING <br />D MECHANICAL <br />D GAS <br /> <br />1 <br />I <br />I <br />I <br />D <br />1 <br /> <br />DNO <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />PROGRESS ENERGY <br /> <br />AMP SERVICE <br /> <br />&,()CJ <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />ROOFING <br /> <br />SPECIALTY D OTHER <br />FLOOD ZONE AREA DYES <br /> <br />BUILDER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />~ <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Address <br /> <br />ELECTRICIAN I <br />SIGNATURE <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />~ <br /> <br />Y/N I <br /> <br />UOO"~ I I <br />l,f9t~ FEEC~.~Urn~~ <br />License # I CR.. 0575 '1 <br />I <br />I <br />I <br />I <br /> <br />FEE CURRENT <br /> <br />Address <br /> <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />Address <br /> <br />MECHANICAL I <br />SIGNATURE <br /> <br />Address I <br /> <br />OTHER I <br />SIGNATURE <br /> <br />Address I <br /> <br />COMPANY <br />REGISTERED <br /> <br />~ <br /> <br />Y/ N <br /> <br />FEE CURRENT <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />~ <br /> <br />Y/ N <br /> <br />FEE CURRENT <br /> <br />License # <br /> <br />RESIDENTIAL <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms <br />Minimum ten (10) worl<ing 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) worl<ing 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 />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 authorizing same <br /> <br />OVER THE COUNTER PERMITTING (Front of Application Only) <br />Reroofs Sewers Service Upgrades AlC <br /> <br />Driveways-Not over Counter If on public roadways"needs ROW <br /> <br />Fences (Plot/Survey/Footage) <br />