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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />t-ax-lil ;j-(liU-UULl <br /> <br />Date Received (- -3. ' 0 ~ <br />Owner's Name E Yl '\.. .0 rq !u- <br />Owner's Address I fo 7 11 B ~ \{ <; 06 0 J C;, <br />Fee Simple Titleholder Namel <br /> <br /> <br /> <br />-t:r (,L- i 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 /> <br />I & 7;1 /345) wove! (Iff <br /> <br />I C'> If t..c. -\- vJ ~ c.l d I PARCEL IDNI <br /> <br />D NEW CONSTR E3 ADD/ALT 0 <br />D INSTALL REPAIR <br />PROPOSED USE 0 SFR 0 COMM 0 OTHER I <br />TYPE OF CONSTRUCTION 0 BLOCK CJ FRAME 0 STEEL 0 OTHER I <br /> <br />DESCRIPTION OF WORK I R-.e. V () u-f 3 \ s~ _ w ! C\.. JOY" ~ A. ~ II If"/\. \ e V' \ l' .M... <br /> <br />BUILDING SIZE I Iso FOOTAGE I -3 I () 0 HEIGHT I .......I....................... <br /> <br />0" ...~~,~;~~........ 'i~'" '5;'9 o';;~"'" i" ...;~~;~:~~ ~~'~~~~~~~~~~~,~~""" ,..,.. <br /> <br />D ELECTRICAL 1$ I AMP SERVICE CJ PROGRESS ENERGY <br /> <br />D PLUMBING 1$ I <br />D MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION <br /> <br />D GAS ~ ROOFING CJ SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />~~:~~~".....,.,..,.".."""..".....""""..,."'.,."".."". ':~~;:~.."""'.""""""..""""".."""'...""""""'" 'I <br /> <br /> <br />SIGNATURE REGISTERED Y I N FEE CURRENT Y I N <br /> <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />LOTN I <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />lG L - 2.10 - L \ - () 2..1 0-00000 -/560 <br />(OaT AINED FROM PROPERTY TAX NOTICE) <br />SIGN 0 MOVE 0 <br /> <br />DEMOLISH <br /> <br />WORK PROPOSED <br /> <br />D <br /> <br />W.R.E.C, <br /> <br />Address <br /> <br />ELECTRICIAN I <br />SIGNATURE <br /> <br />Address I <br /> <br />PLUMBER I <br />SIGNATURE <br /> <br />I <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />YI N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />MECHANICAL I <br />SIGNATURE <br /> <br />Address I <br /> <br />~~H::rURE J..~ <br /> <br />Address 133010 S tL S L po ()6X I ~r License # I Lce 6)795 7 <br /> <br />111111111111111111111111111111111111111111111111111111111111111111 t 1111111111111111111111111111111\111111111111111111111111111\1\111111111111\1111 <br />RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction, <br />Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans wI Silt Fence installed, <br />Sanitary Facilities & 1 dumpster; Sile Work Permit for subdivisions/large projects <br />Attach (3) sets of Building Plans; (1) set of Energy Forms. R-O-W Permit for new construction. <br />Minimum ten (10) working days after submittal date. Required onsile, Construction Plans, Stormwater Plans wI Slit Fence Installed, <br />Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance <br />Attach (2) sels of Engineered Plans. <br />....PROPERTY SURVEY required for all NEW construction. <br />111111111111/111/1111111/111111/1111111/111111111111111111111/11111111111111111111111111111111111/11111111/111/11111111 J 11111111/11111111 J 11111111 <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 />Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same <br />OVER THE COUNTER PERMITTING (Front of Application Only) <br />Reroofs Sewers Service Upgrades Ale <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />YI N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />--- <br /> <br />COMPANY <br />REGISTERED <br /> <br /> <br />License # <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Fences (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />