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<br />APR/06/2006/THU 03: 06 PM ZEPHYRHILLS BUILDING FAX No. 813-780-0021 <br />81a-78D-0020 City of Zephyrhills Permit Application <br />Building Department <br /> <br />P. 001 <br />Fax-813-78D-0021 <br /> <br />Date Received <br /> <br /> <br />I <br />I <br />I <br />f~Z~'rhiJts, 'lei. I =.I.:t?, I <br />PARCELlD#I'~s- ;;J."O'- ~\ - 00\0 - \?-1.:>60.. CcOOl <br />IO~""'NED FROM PIWPERn: TAX 1l0TICEI <br />SIGN 0 MOVE 0 <br /> <br />OWner Phone Number <br /> <br />~r Phone Nwnber I <br /> <br />Owner Phone Numb9r L <br /> <br />OWne["~ Name <br /> <br />JOB ADDRESS <br /> <br />Fee Simple TlUeholder Add...... I <br /> <br />rg 1,,1.:I1a Il'lh +." <br /> <br />SUBDIViSiON <br /> <br />WORK PltOP05ED <br /> <br />DEMOLISH <br /> <br />o NEW CONSTR D ADD/ALT D <br />D INSTALL D REPAIR <br />PROPOSED USE D SFR D COMM D <br />TYPE OF CONSTRUCTION D BLOCK D FRAME 0 <br /> <br />OESCRlP1l0N OF WORK I If d.d-i h 0 r..J o,c ::thY'" ckv t1a /1.1 <br /> <br />BUILDING SIZE I g-' s< :5(') i SQ FOOTAGE I .:2#D I HEIGIfT l <br />.....-. . . .. . . . . . .. . . . . ~. . . . J ~ . . . . . . . . . . . . . I" . . . . . . .. . . . . . . . . . . , r, I . . . . II" . . . . . . . I . . . . IIII , , <br /> <br />~ BUILDING 1$ .ii60D. VALUATION OF TOTAL CONSTRUCTION <br /> <br /> <br />~ ELECTRICAL 1$ AMP SERVICE D PROGRESS ENERGY <br /> <br /> <br />o PLUMBING 1$ <br /> <br />CJ MECHANICAL 1$ <br /> <br />D GAS 0 <br />FINISHED FLOOR ELEVATIONS I <br /> <br />OTHER I <br />STEEL 0 <br /> <br />OTHER L <br /> <br />-.J <br />I <br />J <br /> <br />......... <br /> <br />....., <br /> <br />D <br /> <br />W.R,E.C. <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />ROOFING <br /> <br />o <br />I <br /> <br />SPECIALrY 0 <br />FLOOD ZONE MEA <br /> <br />OTHER <br />DYES <br /> <br />DNO <br /> <br />...............',1'......11.... ............. .......11... .......T"".,!..II... ...".... ........", ......... ..."I'..............TI...... <br /> <br />COMPANY -bl? t<J , ) e-R. <br />REGISTliIlED l~'y' / N I FEE. CURREKT <br />I Licen6e # I <br />COMPANY b(~rt <br />RaGI$TERED ~ FEIi CUl<I<eKT <br />L1ceRlle # I <br /> <br />UJjLJ <br /> <br />BUILDER ~ /l t J <br />SIGNATURE. ~~ ~=cJ<7tJ14 <br />Address ~f.. . <br /> <br />ELECTRICIAN! ~ /J r J <br />SIGNATURE. V ~ ~ :7<--<- cf1 '7 aI.t/ <br /> <br />Address . <br /> <br />PLUMBER I <br />SIGNATURE <br /> <br />Address I <br /> <br />MECHANICAL I <br />SIGNATURE . <br /> <br />Addres.. I <br /> <br />OTHER I <br />SIGNATURE <br /> <br />Addre5$ I <br /> <br />LY..L!:!..J <br /> <br />COMPANY <br />I<EGISTERED Y/ N I'liE CURREKT LY1liJ <br /> License # <br />COMPANY <br />REGISTERED Y/ N FEE CURREKT W!:LJ <br /> license I/: <br /> <br />~~:e~ r LYJ.lLJ <br /> <br />FE~ C:Ul<REIlT <br /> <br />l....Y.!1U <br /> <br />T.."I'.,I....'..",.",...... ....T.,il.....',......,.".. .....1,.....'.,11.",.... "I'........TII','....IIIIIII"...lr"IIII..'........."1m <br /> <br />. License I/: <br /> <br />RESIDENTIAL <br /> <br />Altach (2) Plot Plans; (2) 6ets of Building Plens; (1) set of Energy Forms <br />MInimum ten (10) working days after submittel date. Required ooslte, Construction Plans. Sanitary Fadl1lles & 1 dumpster <br />Attach (3) sels of Building Plans; (1) set of Energy Forms. <br />Minimum ten (10) working days after submittal dale. Requll'lld onsl18. Construcllon Plans, sanitary FacillUes & 1 dumpster <br />All oommerdal requlremen\$ must meet oompllanoe. <br />Attach (2) sel6 of Engineered PI8/l$. <br />m.PROP[;RTY SURVEY required for all NEW constructlon. <br /> <br />COMMERCIAl <br /> <br />SIGN PERMIT <br /> <br />. . . . . I1II ~ . <br />OlrectioRli: <br />Fill out application completely. <br />OWner & CQntraotor sign back of appllcaUon. notarized <br />If 'over $2500, a Notioe of Commencement 15 required. (AlC upgrades over $5000) <br /> <br />AQent (for the contractor) or Power of Attornoy (for the owner) would be someone with notarized letlor from owner authorizing same <br /> <br />OVER THE COUNTER PERMITTING (Front of Application Only) <br />Reroofs Sewers S9IVioe UpQrades NC <br /> <br />.......... <br /> <br />..Ill.... JlIIII! <br /> <br />.111..111111...... <br /> <br />. .HI ..IIIlIIUJ.., III & <br /> <br />. . . . . . ~ <br /> <br />Illl <br /> <br />.....1111111.....111 <br /> <br />....... <br /> <br />Fences (Plol/Survey/Footage) <br /> <br />Driveways-Not over Count.... If on public roadways..needli .ROW <br />