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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 />Date Received <br /> <br /> <br />-00 <br /> <br /> <br />_ RDSO-r <br /> <br />./ Owner's Name Go .2 'LeS-Sn~ rJ, lJil/JlA I<..+- CoiL If'lf 4~iJ/c :r <br />/ Owner's Address IPo Bo"i- b oo"o,p- J,4CkSc>/JV l LL cPL. <br />Fee Simple Titleholder NamJ <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />_ JOB ADDRESS <br /> <br />33S~:J- <br /> <br />LOT # <br /> <br />I <br />I <br />I <br />~-I/ JJlA I~ <br />I <br /> <br />Fee Simple Titleholder Address <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />ADD/AL T <br />REPAIR <br />COMM <br />FRAME <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />DEMOLISH <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br /> <br />D <br />D <br />D <br /> <br />OTHER I <br />STEEL D <br /> <br />OTHER I <br /> <br />BUILDING SIZE <br /> <br />RJJ j) J" pT CI2/ole.. <br />I HEIGHT I <br /> <br />.....11........11....11......11...111....11.........11....11....,11........111.....111............................................................ <br /> <br />/0 BUILDING 1$ 3S~j. 73 I VALUATION OF TOTAL CONSTRUCTION <br />/0 ELECTRICAL 1$ 8~3. I AMP SERVICE D PROGRESS ENERGY D W.R.E.C. <br /> /1 <br />/'0 PLUMBING 1$ S G "3. 1 rim 5j(~J <br /> 00 <br />0 MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION ~~~ (C-LJ-~(~ <br /> ~dL6 .-\-0 b.R... <br />0 GAS 0 ROOFING D SPECIALTY D OTHER ~(.,...........cs h+ u.p .-\-0 <br />FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES DNO CoC".k <br /> <br />Address <br /> <br /> <br />.)/>:> <br /> <br /> <br />_ BUILDER <br />SIGNATURE <br /> <br />License # <br /> <br />ELECTRICIAN <br />./ SIGNATURE <br /> <br />~.1. <br />Y I'f I <br /> <br />a-RcT.... i' W <br />FEE CURRENT I Y N <br /> <br />Address <br /> <br />PLUMBER <br />... <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 />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y / N FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y / N FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />111"1111111111111111111111'1111'111111111111111111111111111111""1111111111111111111""11111111111111111111",.,1111111111'1.'1111111111111"'1 <br /> <br />RESIDENTIAL 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 />COMMERCIAL 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. Il n 0 -( ~f2""/o.. JJ::k) <br />SIGN PERMIT Attach (2) sets of Engineered Plans. reC I;:;;)UJ. ~o-ruLD :J ~ (p v-.J'. <br />....PROPERTY SURVEY required for all NEW construction. o.J:t:_O...c~x~ ~ .Jl.k.: 1)(";:Vt..\WYlC; q:. <br />~i~~~~:~~~I:IIIIIIIIIIIIIIIIIIIII'I,.II'I'11111111111IIIIIIII,.IIII.llllllllllllllllllk~~~IIIIIIIIII~.I.,~~I~I~~~ <br /> <br />Fill out application completely. t.ul CY\.~ PI&iyVYVV""O<, t~ <br />Owner & Contractor sign back of application, notarized ') r: . . a . J. _ . <br />If over $2500. a Notice of Commencement is required. (AlC upgrades over $5000) ~ I '--t-. t!' L-ryv'\ ~~ --+0 ~ <br />Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same <br />OVER THE COUNTER PERMITTING (Front of Application Only) rc:u-.-l~ / l-CY\", (:5--0< (~ d~ <br />Reroofs Sewers Service Upgrades NC Fences (PloUSurvey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br /> <br />atlId~."'" -...__ <br />eoor: \~1t')l4.....:;~.'" . <br />ai!O'll. 00 '~.I row,.;) <br />I~ ~!anOIIIM,e........ <br /> <br />