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<br />813-780'{)02D <br /> <br />A1B5V <br /> <br />f:1' Fax-813-780'{)021 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br /> <br />Date Received <br /> <br />Owner's Name <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Owner's ~ddress <br /> <br />Fee Simple Titleholder Address I N J A <br /> <br /> <br />~aJl J30~'t~_~:b~O _ b;~~O:'Il~: <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />~ NEWCONSTR D ADD/AL T D SIGN D MOVE D <br />D INSTALL D REPAIR <br />PROPOSED USE D SFR ~ COMM D OTHER I <br />TYPE OF CONSTRUCTION ~ BLOCK D FRAME ~ STEEL D <br /> <br />DESCRIPTION OF WORK I New &NS~ li1P~~r+5 ~Ye.. <br /> <br />BUILDING SIZE 5.f. sa FOOTAGE Ii. ~ ,Nt:'! HEIGHT llu "8" +0. /.1aSIlq. <br /> <br />1$~52 /lq2- I <br />1$ 61J lQz.. I <br />1$ 21, '004 I <br />1$ 82.. 'L6p I <br /> <br />D GAS ~ ROOFING D <br /> <br />FINISHED FLOOR ELEVATIONS I e'l. 4'5 I I <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />DEMOLISH <br /> <br />OTHER I <br /> <br /> <br />~ <br /> <br />BUILOING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />r:gj <br />rgj <br />c;gJ <br /> <br />ELECTRICAL <br /> <br />AMP SERVICE. D I J PROGRESS ENERGY D ~.EC. <br />Ort:..:~ .Ptoa~j (".Q '/ l-r/O" RC~. 17 ..Qfl <br />~'PLJIJ(,.- \ ') liJ /Jj, N~ 5-12. J. <br />M~ (1'el!!T' (on'Omco.7 .LJ/..f!-I'- . "~~ ..Ph_ ,_ <br />VALUATION OF MECHANICAL INSTALLATION 'Izoo l~ 0 D ~ ~ <br />Cc~/5~.- ~. fA~. <br />SPECIALTY D OTHER - F{rYlI2..h/01 lUVU <br />FLOOD ZONE AREA DYES DNO , _ L ~ \~.5) <br />I ;::.. tQ e.j, s, (/'(\.b ....1kI1:1..J:: . . <br /> <br />PLUMBING <br /> <br />MECHANICAL <br /> <br />BUILDER <br />SIGNATURE <br /> <br /> <br />Address <br /> <br />II13r~J~~jcu'~pY1tt&1or~ 1JG <br />License # k:~ -(~ (" A- 2.<60 Z 3 <br />~'1rfc;REf:j1fj;iI- ~~I <br />License # I ~C./? 0 lJ /Jh I <br />')t/1tI 6/"'t~ IIV'} <br />Y/N <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />Address <br /> <br />...-c.pc-; '125'&/14 <br />I <br />I <br />I <br />I <br /> <br />License # <br /> <br />~~ ..~.~ <br /> <br />~ Address <br /> <br />11 OTHER <br />~ .1~ -(l.J SIGNATURE <br /> <br />~ Address <br /> <br />9~tJ.; <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />L..!.!..!!...J <br /> <br />FEE CURRENT <br /> <br />L2:..!.!!....J <br /> <br />I <br />~D <br />I <br /> <br />license # <br /> <br />COMPANY <br />REGISTERED <br /> <br />L..!.!..!!...J <br /> <br />FEE CURRENT <br /> <br />L2:..!.!!....J <br /> <br />License # <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 compieteiy. <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 AlC Fences (PloVSurvey/Footage) <br /> <br />Driveways-Not over Counter ~ on public roadways..needs ROW <br />