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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />t-ax-1:I1 ;:!-(ljU-UUL'1 <br /> <br />Date Received <br /> <br /> <br /> <br />~~ <br /> <br />Owner's Name Hidde..1 River of Pasco Cbunt" I.lL <br /> <br /> <br />Owner's Address I 2SJ2 North RockY Point Drive Suite 10~ Tampa. FlI <br /> <br /> <br />Fee Simple Titleholder Nam~ I <br /> <br />Fee Simple Titleholder Address <br />JOB ADDRESS I Hidden River:. O1aocey Road Zephyrhills, Fl <br /> <br />SUBDIVISION I I PARCEL ID# I <br /> <br />WORK PROPOSED 0 NEW CONSTR r=J' ADD/ALT D <br />D INSTALL Cl REPAIR <br />PROPOSED USE 0 SFR 0 COMM 0 <br />TYPE OF CONSTRUCTION D BLOCK D. FRAME D <br /> <br />DESCRIPTION OF WORK I site work .. ' <br /> <br />BUILDING SIZE I I . SQFOOTAGE I I HEIGHT I . I' <br /> <br />""."."""".."..,.,.,."".,.....",.:....,.....,........,~.'6........................,..............,..."............,.....,........,...., <br /> <br />D Si~~I~~~ 1$ 4,610,976.63 2.?1J q~.:.UATIONOFTOTALCONSTRUCTION ' <br /> <br />D ELECTRICAL 1$ I AMP SERVICE . t:=:J PROGRESS ENERGY D <br />. f: arJic.:lL (.''-hTJ1 ~ry <br />D PLUMBING 1$ I ';4, b~C) ? r b T )~J f. . ~pc.P'l\.riZ- )~.. N}NG- <br />. 2.7'7 frr .. )- . ') '"YJt'Lo/ytC 'i)1.\ "'-I\. _ <br />D MECHANICAL 1$ I VALUATION O~ MECHANICALlNSTALLATION ,~ f ~~' -.;;~ c;;- ~'r. <br />.ofiUvt,T <br />D GAS D ROOFING 0 SPECIALTY D OTHER I' . 5h, I ~ <::. <br /> <br />~:~,'~,~~,~ ,~~~~~ ~~~~~~:~~~, .!.. " ,,' '.\'~L , "" ""." J " 000 ZONE A";~^C ^~ ~J;~~ ~:~ "He ~~ ~ff, <br /> <br />t-~.,- <br /> <br />~ <br /> <br />I <br />I <br />: <br />I <br /> <br />LOT## <br /> <br />(OST AINED FROM PROPERTY TAX NOTICE) <br />SIGN 0 MOVE D <br /> <br />DEMOLIsH <br /> <br />OTHER 1 si tp work <br />STEEL 0 OTHER .1 site work <br /> <br />I <br />I <br />I <br /> <br />W.R.E.C, <br /> <br />BUILDER <br />SIGNATURE <br /> <br /> <br />~\- <br /> <br /> <br />Southeastern Construction <br />N FEE CURRENT <br /> <br /> <br />Address <br /> <br />ELECTRICIAN I. <br />SIGNATURE <br /> <br />Address I <br /> <br />PLUMBER I <br />SIGNATURE <br /> <br />Address I <br /> <br />Suite 1(6 Clearwater Fl 33761 <br /> <br />License # <br /> <br />N <br />I crr;1:m335 <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N FEE CURRENT <br /> License # <br />YI N FEE CURRENT <br /> License # <br />YI N FEE CURRENT <br /> License # <br />YI N FEE CURRENT <br /> License # <br /> <br />Y/N <br /> <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br /> COMPANY <br /> REGISTERED <br />I COMPANY <br />REGISTERED <br />I COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />Y/N <br /> <br />Address <br /> <br />OTHER <br />SIGNATURE <br /> <br />Y/N <br /> <br />Address <br /> <br />1111' 1111111' II 11'111'1111111' 11111111111111111111111111111' 11'111" I" 1111' 11111' 11'1111111111111' 11111111111111111111111111111111 i 11111111111'1 <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 onslle. Construction Plans, Sanllal)' 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 onslte, Construction Plans, Sanltal)' Facilities & 1 dumpster <br />All commercial requirements must meet compliance. <br />SIGN PERMIT Attach (2) sets of Engineered Plans. <br />....PROPERTY SURVEY required for all NEW construction. . . <br />111111111111111111111111111111111.1111.1.11.11.1111,111.111111.1111111111..lljlilllllillliiiill.lillilllllli1IIIIilillllillliilllillliliiilllliliii <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 Attomey (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 Driveways Fences (PloUSurvey/Footage) <br />