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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-OO21 <br /> <br />JOB ADDRESS <br /> <br /> <br />ddl ~<- cd! <br />7d ~ Sd-J.. <br />1111 If-<- If-Mw <br /> <br />Date Received <br /> <br />OWner's Name <br /> <br />u~ tl <br />lht{~-<- I <br /> <br />IXt NEW CONSTR E3 ADCVAl T <br />D INSTAll REPAIR <br />PROPOSED USE CRI SFR 0 COMM <br />m>EOFCCNOTowcno. 0 "-OCK ::1J; ,..... <br /> <br />DESCRIPTIONOFWORK I ~.~j.... ~i ~ <br /> <br />BULDlNG SIZE 1>0';(. ~ 1 / I SQ FOOTAGE I Z 10 6 <br />IIHII1lUJb1....__~ _ <br /> <br />SUBDMSION <br /> <br />WORK PROPOSED <br /> <br />IlIIIimm <br /> <br />o SIGN 0 <br /> <br />o OTHER I <br />o STEEL 0 OTHER ~ <br />T"~~ tJ>...,,~-~ 6~ve/70..... <br /> <br />I HEIGHT I ZO /. I <br /> <br />DEMOLISH <br /> <br />oq BUilDING I z.,S':o();)- I <br /> I <br />~ ELECTRICAl 6'DI)O-- I <br />[XI PlUMBING S'OOo - I <br />OZI MECHANICAL '1.r-OO .- J <br />0 GAS ROOFING 0 <br />FINISHED FLOOR ELEVATIONS <br /> <br />I>.- <br /> <br />1~__~1IIIIIJIIIJIUIf <br /> <br />VAlUATION OF TOTAl CONSTRUCTION <br /> <br />AMP SERVICE 200 <br /> <br />0Zl <br /> <br />PROGRESS ENERGY D W.RE.C. <br />Nee ../ <br />s.o.,,~\\~ ./ <br />(<00-) - ~ T {i.. ../ <br /> <br />VAlUATION OF MECHANiCAl INSTALLATION <br /> <br />BUILDER <br />SIGNATURE <br /> <br /> <br />SPECiAlTY 0 OTHER <br /> <br />FLOOD ZONE AREA DYES IJQNo <br /> <br />,.,;-",,,- <br /> <br />RESIDENTIAl.. <br /> <br />,J;r~ II. Y N <br />A s I rJ {) 7 (V~sL td ~'v ~ AI {1- z, 7/'19 License # <br />~~~:::"'k~~ ~~ I == I 1b~~EE~~ <br />Address ~ gl.-l- ^'t1h.lb License # I EC '~OQ,os-~ <br />tit COIPANY eo/I'L J ~ jt?j~ <br /> <br />'" REGISTERED I Y I N'7 F::':lRRfNf ~ <br /> <br /> <br />-~. d;f;J;:h 3/3kM <br />I ~~c~ ~~~ ~ ~ <br />YI N FEE CUR Y/N .~OGJI8'"/f6 L <br />License # I (j --.. ~~~ <br /> <br />I ~+ &-.:~ ~ .~ <br />License # I /Lu> e Y'~2. 4/ 1 <br /> <br />1 mllll r 1111 r i TI 1111 l II 'TlIlr- 11111 =:.11:;11II'; <br />Attach (2) PIoI Plans: (2) sets of Buildi1g Plans: (1) set of Energy Forms <br />Minimum ten (10) working days allersubmillal date. Required onsile, Construction Plans, Sanitary Facilities & 1 dumpster <br />Attach (3) sets of Building Plans; (1) set of Energy Forms. <br />Minimumlen (10) working days allersubmillal dale. Required onsile, Construction Plans, Sanitary Facilities & 1 dumpster <br />All oomrnen:ial requiremenls ITXISt /Net compfianoe. <br />Attach (2) sets of Engineered Plans. <br />~TY SURVEY required for al NEW construction. <br /> <br />)( <br /> <br />J@ <br />~ <br /> <br />Address <br /> <br /> <br />L.. PlUMBER <br />./\ SIGNATURE <br /> <br />X MECHANICAL <br />SIGNATURE <br /> <br />Address <br /> <br />V OTHER <br />^ SIGNATURE <br /> <br />AddAlSS <br /> <br />COMMERCIAL <br /> <br />SIGN PERMT <br /> <br /> <br />""IWDUlItl <br /> <br />............... <br /> <br />-.- <br /> <br />......-. <br /> <br />IIlI <br /> <br />DIrections : <br />Fil out applcation completely <br />Owner & Contractor sign back of appIicatjon, notarized <br />If over $2500, a Notice of c:ocnc.-_nt is requhd. CAlC upgrades owr $5lIQOJ <br /> <br />- Agent (for the contractor) or Power of Atlnmey (for the owner) would ba someone with notarized ~ from owner authorizing same <br /> <br />OVER THE COUNTER PERMITTING (Front of Application Only) <br />Reroofs Sewers Service Upgrades Ale <br /> <br />Fences (PlotISurveylFootage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />