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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br />Owner's Name OtJj CA~ "7 ~ <br /> <br />Owner's Address I 3 1 'f- q <br /> <br />Fee Simple Titleholder Namel <br /> <br />/h1i-r7' S-?'o..u'C <br />Co p~(A:-lJ1J b~ <br /> <br /> <br />Date Received <br /> <br />JOB ADDRESS <br /> <br />Fee Simple Titleholder Address I <br /> <br />1.37t.tCJ <br />I <br /> <br /><;?~!D..OT..L ...,.. <br />EC~82 ~ICTR'CAL CONTRACTORI. 'Ie. <br />'ndUatr,., Electrical & Co <br />ntrD'. <br /> <br />WJ jJt;;~ D <br /> <br />nit ~H'I <br />I PARCELlD#~ <br />B ADD/ALT C <br />REPAIR <br />D COMM 0 <br />D FRAME 0 <br /> <br />RICK PHILLIPS <br />PROJECT MANAGER <br /> <br />\ <br /> <br />SUBDIVISION <br /> <br />PO Box 90069 . L <br />863,815-5740 akeland. Florida 33804'0068 <br />. Fax 863,815,5720 . Cell ~63'557{]357 <br /> <br />D NEW CONSTR <br />D INSTALL <br />PROPOSED USE 0 SFR OTHER I <br />TYPE OF CONSTRUCTION 0 BLOCK STEEL D <br /> <br />DESCRIPTION OF WORK I 4o-CrO Sa p-r tv~dtt.<Sc;. A-iJ/~17to)'-J <br /> <br />BUILDING SIZE I L/ 07XO ' SG I I SQ FOOTAGE I HEIGHT I U' <br />.'tlrllllllllllllllll"rr"'lllt"IIIIIIIIIIIJ"t'tlll111111111111111111111111111111"111""1111111111111111111111111111111111111"11111111111111 <br /> <br />WORK PROPOSED <br /> <br />OTHER I <br /> <br />1$ <br /> <br />1$ ~ /3 -? ' 0 (; <br /> <br />1$ <br /> <br />1$ <br /> <br />o GAS 0 ROOFING D SPECIALTY 0 OTHER <br /> <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />11111111I11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I111111111111111I11111111I1111111 <br /> <br />BUILDER IC~-.r~"'L ~~.1".u ~~~ ~~.G?fC.~+f <br />SIGNATURE _ Y / N I FEE CURRENT ,Y / N <br /> <br />Address License # I J~ 1'( en (;) 0 ~ ~7 L. -'2- I <br /> <br />ELECTRICIAN ;( ~ p p~ COMPANY 1Cc>,vTA-CL I.X:sJr;,/J .(?UG-?~~~' <br />SIGNATURE REGISTERED Y / N FEE CURRENT I Y / N I <br /> <br />License # I '= c CJ(yO Z. 7'- 'C.- <br /> <br />0 BUILDING <br />E:xl ELECTRICAL <br />D PLUMBING <br />0 MECHANICAL <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY D WR.E.C, <br />Cv~~~ P.a..-t-~ 5'iS35 <br />~~ - (c.~(. \&'b"' <br /> <br />.~ NOc....l--J') <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br /> <br />Address jptl h,,~ 9bO'Q (~J P'- <br /> <br />33'if6<jL <br /> <br />I <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />1I1111I1111I1111111111111111111I1111111111111111111111111111I111111111111111111111111111111111111111111111111IIIIIIIilllllllllllll <br />Attach (2) Plot Plans; (2) 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 />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 />Attach (2) sets of Engineered Plans, <br />....PROPERTY SURVEY required for all NEW construction, <br />111111111111111111111111111111111111111111111111111111111111111111111111111I111111111111111111111111111111111111111111111111111I111111111111111111 <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 <br /> <br />Address <br />111111111111111 <br />RESIDENTIAL <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Fences (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadwaysnneeds ROW <br />