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<br />813-780-0020 <br /> <br />, . <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />1tt;~~ <br /> <br />FaX-8(i:2 ~~!Y <br /> <br />ler's Name <br /> <br /> <br />L <br /> <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Date ~eceived' <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Name I <br /> <br />31..1'1 " <br />I fl\"uhvle TU{'ik~ I :S(\(\fu<J k <br /> <br />Fee Simple Titleholder Address <br /> <br />JOB ADDRESS <br /> <br />S l~cJ ha\\ ~\" cl <br /> <br />LOT # <br /> <br />BLOCK <br /> <br />I <br /> <br />EJ <br />D <br />D <br />~~A,,;;i: T~wJ' " <br /> <br />SQ FOOTAGE <br /> <br />PARCELID#IIl. z.~. 2.\ - 00\0. Ol..1.:Ju- nl)\~ <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br /> <br />SUBDIVISION <br /> <br />DESCRIPTION OF WORK <br /> <br />B <br />D <br />D <br />I <br /> <br />NEW CONSTR <br />INSTALL <br /> <br />SFR <br /> <br />ADD/ALT <br />REPAIR <br /> <br />SIGN <br /> <br />D <br /> <br />MOVE D <br /> <br />DEMOLISH <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />COMM <br />FRAME <br /> <br />D <br />g <br />D <br /> <br />OTHER I 'Rl.-~O{")F' - Sh\~l~ <br />STEEL D OTHER I <br />1~::l D ~) <br />l~"fc \~, I\1L Ii. II: l:l 'i". 3 <br /> <br />HEIGHT L I <br /> <br />WORK PROPOSED <br /> <br />BUILDING SIZE <br /> <br />J <br />S Y'h V\q L>e- <br />I <br /> <br />P-1J <br /> <br />- <br /> <br />-.- <br /> <br />~ <br /> <br />1$ <br />I ~) 0 ~ 3. 1~ <br />D ELECTRICAL 1$ <br /> <br />L.J PLUMBING 1$ <br /> <br />D MECHANICAL 1$ <br /> <br />D GAS o::r ROOFING <br />FINISHED FLOOR ELEVATIONS I <br /> <br />I <br />I <br />I <br />I <br />D <br />I <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />o <br /> <br />W.R.E.C. <br /> <br />BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY D OTHER <br />FLOOD ZONE AREA DYES <br /> <br />DNO <br /> <br />--- <br /> <br />/Os! j I@L <br /> <br />J5qJl U:;, 501 1Jxte C;~/r:-' <br /> <br />.- <br /> <br />- <br /> <br />BUILDER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />~~N~r ~~~E~[Jlt0f(P <br />License # I ere.. 05/ 5 U ~ <br /> <br />3~3 <br /> <br />I <br /> <br />Address <br /> <br />ELECTRICIAN <br />SIGNA TURE <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 />Y / N FEE CURRENT <br /> License # <br /> <br />Y/N <br /> <br />Address <br /> <br />PLUMBER <br />SIGNA lURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />MECHANICAL <br />1NATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />OTHER <br />SiGNA TURE <br /> <br />COMPANY <br /> <br />Y/N <br /> <br />REGISTEReD <br /> <br />Address <br /> <br />", <br />RESIDENTIAL <br /> <br />-- <br /> <br />COMMERCIAL <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 />SIGN PERMIT <br /> <br />-. <br /> <br />rections: <br />Fill out application completely. <br />Owner & Contractor sign back of application, notarized <br />If over $2500, a Notice of Commencement is required. (A/C 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 (PloUSurvey/Footage) <br /> <br />.---""IIIIIIIII\II <br /> <br />Driveways-Not over Counter if on public roadways.. needs ROW <br />