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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />(0 (15 Fax-813-780-0021 <br /> <br />Date Received <br /> <br /> <br /> <br />Owner's Name A\Q" r t"1 ( . <br /> <br />Owner's Address I '3 (;, l{ I ~ g L ~. 5 i <br />Fee SImple Titleholder Name I <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Fee Simple Titleholder Address I <br />1 ~o\ ~<-UL'U& Q.u.. - heY, , <br />I D f' ~ .c \- l.JDor) f"f4 S f ~ I <br /> <br />JOB ADDRESS <br /> <br />LOT' <br /> <br />PARCELlDlI 0 l, - 2(;,- 2 ( -Do 10 - 02 ioo.- 001 0 <br />(OBTAINED FROII PROPERTY TAX NOllCE) <br />SIGN D MOVE D <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />~ <br />D <br />JZJ <br />I~ <br /> <br />B <br />D <br />D <br /> <br />NEW CONSTR <br />INSTALL <br /> <br />SFR <br />BLOCK <br /> <br />ADD/Al T <br />REPAIR <br /> <br />COMM <br /> <br />FRAME <br /> <br />PROPOSED USE <br /> <br />TYPE OF CONSTRUCTION <br /> <br />u..,; J.... <br /> <br />~'-I,) '" {..b~ e' ~ <br />SQ FOOTAGE I 7" ~ 2. <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />D <br />D OTHER <br />D STEEL D <br />(G:, PI~)O' t}\:,) <br />I HEIGHT IS:",lt S1ror'l I <br /> <br />DEMOLISH <br /> <br />OTHER I <br /> <br />[RJ BUilDING 1$ <br /> <br />[:zJ ELECTRICAL 1$ <br />[E] PLUMBING 1$ <br />[El MECHANICAL 1$ <br /> <br />o GAS ~ <br />FINISHED FLOOR ELEVATIONS I <br /> <br />I <br />I <br />I <br />I <br />D <br />I <br /> <br />AMP SERVICE <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />PROGRESS ENERGY <br /> <br />pg <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />No c.. ~1l2 ~i~ Nc:C. Co<:rU..) <br />f!5'-'-- ~ <br />rl~ <br /> <br />ROOFING <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY D <br /> <br />FLOOD ZONE AREA <br /> <br />~~'::RE I $/ ~ <br />Add~s i ~ <br />~~~;:~:N ! 11/- Opk <br /> <br />Add....s . <br /> <br /> <br />~:!4fU tJ;k~ <br /> <br />:.~~~~~I;:L jf/l/ ~ <br /> <br /> <br />Add....s ; <br /> <br />~I~~A~URE !4U ~ <br /> <br />Add....s . <br /> <br />COMPANY <br />REGISTERED <br /> <br />COMPANY <br />REGISTERED <br /> <br />COMPANY <br />REGISTERED <br /> <br />COMPANY <br />REGISTERED <br /> <br />I <br />~PAr <br />REGISTERED <br /> <br />OTHER <br /> <br />DYES <br /> <br />[Ie.e. hilc.c..\ . <br />rV'1 ME.cl/ Ca.\<.. o1,L. <br />~NO <br />rjtJ\ CV()'-l 7/G?/OG <br /> <br />I <br /> <br />I P I t""ylC.N", Co-'\. S f-. I 'r~ c.. , <br />~ I FEE CURRENT I Y/N <br /> <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />License , <br /> <br />I Mc{(t /\ <br />I YI N I <br /> <br />~k..tJ !' : ( <br />FEE CURRENT I Y I N <br /> <br />license , <br /> <br />~A" ~ W; ll: r.."",J <br />I YI N I FEECURRENT Y/N <br /> <br />License 'II I <br /> <br />I ~Q4 <<---erA ~"",-klr4- <br />I YI N I FEECURRENT I Y/N <br /> <br />License' <br /> <br />ro: fZ:Ji)f~ <br />u=;r ':tt!t.r; I FEE CUR~NT <br /> <br />Y/N <br /> <br />RESIDENTIAL <br /> <br />License 'II <br /> <br />Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fonns <br />Minimum ten (10) working days after submittal date. Required onsile, Construction Plans. Sanitary Fadlities & 1 dumpster <br />Attach (3) sets of Building Plans; (1) set of Energy Fonns. <br />Minimum ten (10) working days after submittal date. Required onsile, Construction Plans. Sanilary Fadlities & 1 dumpster <br />All commerdal requirements must meet compliance. <br />Attach (2) sets of Engineered Plans. <br />--PROPERTY SURVEY required for all NEW construction. <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />DIrections: <br />Fill out application completely. <br />Owner & Contractor sign back of application, notarized <br />If over $2500, . Notice of Commencement Is required. (AlC upgrades over $5000) <br /> <br />Agent (for the contractor) or Power of Attorney (for Ihe owner) would be someone wilh nolarized lelter from owner authorizing same <br /> <br />OVER THE COUNTER PERMITTING (Front of Application Only) <br />Reroofs Sewers Service Upgrades A1C Fences (PloUSurveylFootage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />