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<br />NEW CONSTR
<br />INSTALL
<br />SFR
<br />BLOCK
<br />
<br />7Ku~f
<br />z -4/1r I
<br />El'
<br />~
<br />
<br />City of Zephyrhills Permit ApplicatiQtlA,<"'r:o P!::RM',!T ""E!"'lV1C""!IX-IJ1::l-ftlU-UULI
<br />'Id' D rim t ,I <:>... ~ .;:> I~ . l;:
<br />, BUI Ing epa en Sl~.78e"5~'4'
<br />
<br />a.m., Phone Num:'~ J.~ L~~:ii(J i "" i " i " 1
<br />
<br />
<br />
<br />Owner phone Number [ I
<br />
<br />Owner phone Numb~r [ I
<br />
<br />I
<br />2e,PhJriJ; I/J :el JJnt'J-:=J LOT# 1/1"tJ.t/ I
<br />PARCELlD#1 /}-rUP ~/ - OOJo--o1jocJ- (fJfol
<br />
<br />
<br />813-780-0020
<br />
<br />Date Received
<br />
<br />
<br />tJ-rtLm .r
<br />7'1--^- 01HLI
<br />
<br />Owner's Name
<br />
<br />Fee Simple Titleholder Address
<br />
<br />JOB ADDRESS
<br />
<br />S S r.Ltl
<br />
<br />PROPOSED USE
<br />TYPE OF CONSTRUCTION
<br />
<br />~.Jy
<br />~
<br />D
<br />o
<br />I
<br />
<br />D
<br />o
<br />o
<br />
<br />OTHER I
<br />STEEL 0
<br />
<br />SUBDIVISION
<br />
<br />or:
<br />
<br />WORK PROPOSED
<br />
<br />ADD/ALT
<br />REPAIR
<br />COMM
<br />FRAME
<br />
<br />(OBTAINED FROM PROPERTY TAX NOTICE)
<br />SIGN 0 MOVE 0
<br />
<br />DEMOLIsH
<br />
<br />OTHER I ~4Au,t/1Y1
<br />
<br />: '
<br />I
<br />
<br />DESCRIPTION OF WORK
<br />BUILDING SIZE I /" X 6lO I I. SQFOOTAGE I cJOO tj , I HEIGHT I . I
<br />
<br />I ' I , I , , .. , . I , . , , .. .. , , I , , " , , , , . , " .. , , . , , .. , .. , , . , .. .. , . , .. . .. " . .. , .. , .. . .. " .. , .. .. .. . .. . .. .. . .. , .. .. , .. . , , .. .. .. , . , , , . , .. , .. .. , , , .. . , , .. .. , , ..
<br />
<br />LtJ BUILDING 1$ .3 ' r . VALUATION OF TOTAL CONSTRUCTION
<br />./ J.f)Lj. UJ
<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 />AMP SERVICE
<br />
<br />W
<br />-1~~'
<br />
<br />PROGRESS ENERGY
<br />
<br />D
<br />
<br />W.R,E.C,
<br />
<br />NO L_
<br />
<br />VALUATION OF MECHANICAL INSTALLATION
<br />
<br />ROOFING
<br />
<br />D
<br />I
<br />
<br />SPECIALTY 0
<br />FLOOD ZONE AREA
<br />
<br />OTHER
<br />DYES
<br />
<br />DNO
<br />
<br />Y/N FEE CURRENT
<br /> License #
<br />Y/N FEE CURRENT
<br /> License #
<br />Y / N FEE CURRENT
<br /> License #
<br />Y/ N FEE CURRENT
<br /> License #
<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 />Y/N
<br />
<br />Y/N
<br />
<br />1111111' 1'111111111111' 111111' 111'11111111' 1111111' .111111' 1111111' 11'1'1111111' 111111' 11111111111'1111111111111111111 i, 111'111'1111111111111111111
<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 onslte, Construction Plans, Sanitary Facilities & 1 dumpster
<br />COMMERCIAL Attach (3) sets of BUilding Plans; (1) set of Energy Fonns,
<br />Minimum ten (10) working days after submittal date. Required onslte, Construction Plans, Sanitary 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 />IIIIIIIIIIII11 J I1I1II J I1I1I111III11 & ~ 111111.1111.... III'. .11 & ~ 1.11111 ~ I1II1 ~ 1111IIIII ~ I J Iii i i II & I i II i ~ III i Ii, II1I i I i II & I i III i i II. i Iii i I.; i; j I J ii, i I i
<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 conlraclor) 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 Driveways Fences (PloUSurvey/Foolage)
<br />
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