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<br />1113-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br />Date Received <br /> <br /> <br />~02j fie <br />\j\~ <br /> <br /> <br />OWner Phone Number <br /> <br />OWner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Owner's Name - \ \ N\ofu"' .~ . <br />Owner's Address I 4; -=t\A L ~~L \\ <br />Fee Simple Titleholder Namel <br /> <br />I <br /> <br />c=J ADD/ALT D <br />D REPAIR <br />D COMM D <br />D FRAME D <br /> <br />dWvs - ~ L\~~k fyUV\t <br /> <br />BUILDING SIZE I I <br />'I.,IIIIII'lllrl-"IIIIIIIIIIIIIIIIII"IIII.IIIIII'III1111111"11111111111111"111'1111111111"11111..'111"1",tllll""IIIIII"IIIIIIIIIIIIIIIII <br />1$ -:t E"D \00 I <br /> <br />D ELECTRICAL 1$ I <br /> <br />D PLUMBING 1$ I <br /> <br />D MECHANICAL 1$ I <br /> <br />D GAS D ROOFING D <br /> <br />FINISHED FLOOR ELEVATIONS I I <br /> <br />Fee Simple Titleholder Address I <br /> <br />I ~+\4 L\l\~\~ DR <br />1\0\-.'j.specl~ OAk~ <br />f2j <br /> <br />PROPOSED USE D <br />TYPE OF CONSTRUCTION D <br /> <br />DESCRIPTION OF WORK I:lNo\1r\\ <br /> <br />JOB ADDRESS <br /> <br />2-Er <br /> <br />pI '6 ~S4-2- LOT# I <br /> <br />PARCEL 10# I is- -J lo - 2 (- 0 I loa -0 DOC\CJ - 0 II () <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE D <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />DEMOLISH <br /> <br />OTHER <br />STEEL <br /> <br />I <br />D <br /> <br />OTHER I <br /> <br />DOG\( - sa{~:Je. <br />HEIGHT I <br /> <br />c\OD'< <br /> <br />\-b Ffel\c.h <br /> <br />c\U'J'{ S <br /> <br />SQ FOOTAGE I <br /> <br />D <br /> <br />BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C, <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />OTHER <br /> <br />DYES <br /> <br />DNO <br /> <br />:~..'~~~R:'~ ~\"'.~= ~~:.~ O';2~~~ <br />/~~ Uoen,.# I <br /> <br />//ELECTRICI~) COMPANY q.:;....:::>-::./ <br />~~ REGISTERED Y / N FEE CURRENT Y / N I <br /> <br />Address I License # I <br /> <br />PLUMBER I COMPANY I <br />SIGNATURE . REGISTERED Y / N FEE CURRENT Y / N <br /> <br />Address I License # I <br /> <br />MECHANICAL I COMPANY I <br />SIGNATURE . REGISTERED Y / N FEE CURRENT Y / N <br /> <br />Address I License # I <br /> <br />OTHER I COMPANY I <br />SIGNATURE . REGISTERED Y / N FEE CURRENT Y / N <br /> <br />Address I License # I I <br />I111I1111111111111111111111111111111111111111111111111I1111111111111I1111111111111I11111I1111111I1111I1I11111111111111I11I11111111111111I111111111 <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 onsile, 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. <br />SIGN PERMIT Attach (2) sets of Engineered Plans. <br />....PROPERTY SURVEY required for all NEW construction. <br />11.111111111111'111111'1111111111111111111111111111111l'IIIIIIIIIIIIII'IIIIIIIIIIII"lllllllilll'IIIIIIIIII'111I11I11111III111111111111111111111111 <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 (Plot/Survey/Footage) <br /> <br /> <br /> <br /> <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />