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<br />813-780-0020 <br /> <br /> <br />Date Received <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-81:-r80-0021 <br /> <br />~- ~~ \ "" <br /> <br /> <br />Owner's Name <br /> <br />~iZ>.v-E- <br />137~9 LlcP€'AIJD DJ<u.JiF <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Name I <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />CDPEL-/J./o.J D 5),<. LJI!i- <br /> <br />I PARCEL 10# I <br /> <br />~ ADDIALT <br />D REPAIR <br />D <br />D <br /> <br />E3 <br />D <br />D <br />I tfcoz, <br /> <br />NEW CONSTR <br />INSTALL <br /> <br />SFR <br />BLOCK <br /> <br />"2.LPiI"y/lUl'l ~ <br /> <br />LOT # <br /> <br />2'1- 26.--2( -aoIO' C73'1'c:bc:AVVV <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br /> <br />COMM <br />FRAME <br /> <br />D <br />D <br />D <br /> <br />Fee Simple Titleholder Address I <br /> <br />I 37'19 <br />I <br /> <br />D <br /> <br />MOVE D <br /> <br />SIGN <br /> <br />DEMOLISH <br /> <br />I <br />D <br /> <br />OTHER <br />STEEL <br /> <br />OTHER I <br /> <br />AtJD 1'71 c..'AJ <br />I HEIGHT I 26 ; <br /> <br />l.{c::::t;) 0 SP <br /> <br />s-p CLU~t../E- do...c:$c <br />SO FOOTAGE I <br /> <br />D ELECTRICAL <br />D PLUMBING <br />D MECHANICAL <br />D GAS <br /> <br />1$ 3' -- - ',.. .... <br />I),<...-A...JC <br />. <br /> <br />1$ <br />1$ <br />1$ <br />D <br /> <br />FINISHED FLOOR ELEVATIONS I <br /> <br />ROOFING <br /> <br />71f' <br /> <br />j..J.:::> J.) :E <br /> <br />lUiJ ;U.'E <br /> <br />P':',;..j C <br /> <br />11..-'l~1-' It-. <br /> <br />0'" <br /> <br />BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br /> <br />BUILDER <br />SIGNATURE <br /> <br />Address <br /> <br />I <br />I <br />I <br />I <br />D <br />I <br /> <br />D <br /> <br />D <br /> <br />AMP SERVICE <br /> <br />PROGRESS ENERGY <br /> <br />WRE.C. <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />NO e - <br />()o (2.ow pur f) P ./ <br />5e~,-\ -to. ~{vY\ '5/1~ <br />r-=or:-:: '?e..c'TC>d6..j 5-.:2'1 - 15 ~ <br />L.:.J NO. c> <br />OK to (>'c.C-'WOl. <br /> <br />SPECIALTY D OTHER <br />FLOOD ZONE AREA DYES <br /> <br /> License # <br />COMPANY <br />REGISTERED YI N FEE CURRENT ~ <br /> License # <br />COMPANY <br />REGISTERED YI N FEE CURRENT ~ <br /> License # <br />COMPANY <br />REGISTERED YI N FEE CURRENT ~ <br /> License # <br />COMPANY <br />REGISTERED YI N FEE CURRENT ~ <br /> License # <br /> <br />ELECTRICIAN I <br />SIGNATURE <br /> <br />Address I <br /> <br />PLUMBER I <br />SIGNATURE <br /> <br />I <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 />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 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 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 />Driveways-Not over Counter if on public roadwaysuneeds ROW <br />