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<br />813-7~0 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-OO21 <br /> <br />Date Received <br /> <br /> <br /> <br />Own.... Name €1 (i 0 P DA: LOP f'\." t-')' CO n. " '-' f' <br />Owner'. Add..... IdS 02- (2 OC ~ 'f \>C\.lJ;: .oIl \ () ') Q <br />Fee SImple TItleh0Ider Nama h ~M\" I), f L, !? ~ Co 07 <br /> <br />Fee Simp" TIlIeholder Add.... I <br /> <br />Owner Phone Number <br />Owner Phone Number I ( f\ v... <br /> <br />Owner Phone Number I <br /> <br />Q.\\J 0 <br /> <br />~ \ LUc. RF)DO <br /> <br />JOB ADDRESS <br /> <br />I E.\L?\~D <br />I <br /> <br />PARCEL II>> I <br /> <br />I <br />E3 <br />D <br />D <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />B <br />o <br />o <br />I snc l,UO K - <br /> <br />I SQ FOOTAGE I <br /> <br />f:\. ~ L '-\. <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br /> <br />BLOCK <br /> <br />ADDIAL T <br />REPAIR <br /> <br />COMM <br />FRAME <br /> <br />PROPOSED USE <br /> <br />TYPE OF CONSTRUCnON <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br />~ BUILDING <br /> <br />1$"~O(2?O, 000 <br />, . <br />D ELECTRICAL 1$ <br /> <br />D PLUMBING 1$ <br /> <br />D MECHANICAL 1$ <br /> <br />D GAS 0 <br />FINISHED FLOOR ELEVATIONS I <br /> <br />I <br />I <br />I <br />I <br />D <br />I <br /> <br />LOT # I <br /> <br />o <br />o <br />o <br /> <br />(OBTAINED FROM PROPERTY TAll NO'/lCE) <br />SIGN 0 MOVE 0 <br /> <br />DEMOLISH <br /> <br />OTHER I <br />STEEL 0 <br /> <br />p~, f'o)<> IoZ <::> <br /> <br />HEIGHT I <br /> <br />OTHER L- <br /> <br />AMP SERVICE <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />w.R.E.C, <br /> <br />D <br /> <br />1:::::::1 <br /> <br />PROGRESS ENERGV <br /> <br />ROOFING <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY 0 OTHER <br />FLOOD ZONE AREA DVES DNO <br /> <br />i.. <br /> <br />Lf\QIl-\~ <br />VIN <br /> <br /> <br />BUILDER <br />SIGNATURE <br /> <br /> <br />Add..... <br /> <br />ELECTRICIAN I <br />SIGNATURE <br /> <br />Add..ss I <br /> <br />PLUMBER I <br />SIGNATURE . <br /> <br />I <br /> <br />COMPANY <br />REGISTERED <br /> <br />License # <br /> <br />~GC04~'-i92. <br /> <br />l.....Y..!.1LJ <br /> <br />FEE CURRENT <br /> <br />Lt..!.!!...J <br /> <br />License # <br /> <br />Ad_ <br /> <br />MECHANICAL I <br />SIGNATURE . <br /> <br />Add.... I <br /> <br />OTHER I <br />SIGNATURE . <br /> <br />Add.... I <br /> <br />COMPANY <br />REGISTERED l.....Y..!.1LJ FEE CURRENT Lt..!.!!...J <br /> License # <br />COMPANY <br />REGISTEREO l.....Y..!.1LJ FEE CURRENT Lt..!.!!...J <br /> License # <br />COMPANY <br />REGISTERED l.....Y..!.1LJ FEE CURRENT Lt..!.!!...J <br /> License # <br /> <br />Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms <br />Minimum ten (10) WOI1<ing days after submittal dale, Required~, Conslruction Plans, Sanitary F~ & 1 dumpster <br />Attach (3) sets of Building Plans; (1) set of Energy Forms, <br />Minimum ten (10) WOl1<ing days after submitlal data, Requirad onsite, Construction Plans, Sanitary Facilities & 1 dumpster <br />All commercial requirements must maet compliance, <br />Attach (2) sets of Enginaerad Plans. <br />-PROPERTY SURVEY raquirad for all NEW construction, <br /> <br />RESIDENTIAL <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />D1rac:t1on.: <br />Fill out application completely, <br />OWner & Contractor liOn back of appIica1ion, notarized <br />If over $2110O, a NotIce of CommeI""",oentls raquIrad. lAIC ~ ........ $5OlIlIl <br /> <br />Agent (for tha contractor) or Power of Attorney (for the owner) would be someone with nolatized letter from owner authorizing same <br />OVER THE COUNTER PERMITTING (Front of Application Only) <br />Reroofs Sewers Service Upgrades AJC F9I1aIs (PlotlSurveylFootage) <br /> <br />DrIveways-Not over Counter if on public roadways..needs ROW <br />