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<br />813.780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Date Received l-z-I f oCR <br />1111111111111 <br />Owner's Name NH C. - LL. liS <br />Owner's Address I (p 9 q It. C~ bCLltJ? d fui t e, \3. 31 d <br /> <br />Fee Simple Titleholder Namel I <br /> <br /> <br /> <br />"'-."''"~~ 3tfO <br /> <br />I <br />I <br />I <br />.7~~V\1 '\4F J "3~l}~ I LOT # I iiir/qf <br />I pARCEL ID#I ZL-J. z Co --'2. ) r 6050 -{:;;(y)oO - ~ <br />(OBTAINED FROM PROPERTY TAX NOTICE) \ l\-'1 0 <br />o SIGN D MOVE 0 DEMOLISH " <br /> <br />[2] OTHER <br />o STEEL <br /> <br />Owner Phone Number <br /> <br />Owner Phone Nuinber I <br /> <br />Owner Phone Number I <br /> <br />D <br /> <br />Fee Simple Titleholder Address I <br /> <br />1 38D(o La C6 S-t-e. S-t <br /> <br />lOO(lje~-+'l,OG-\c-5> <br /> <br />CJ/ NEW CONSTR D <br />~ INSTALL D <br />PROPOSED USE 0 SFR D <br />TYPE OF CONSTRUCTION 0 BLOCK D <br /> <br />DESCRIPTION OF WORK ~ ~/c JVl ad!::1 Se -f ~ 4-~ <br /> <br />BUILDING SIZE 1/3)(3'& I .SQ FOOTAGE I Lf q HEIGHT I <br /> <br />",-rrrrTTTTTT""'""" II.""'" II"""""""""".""""""""""""""""""'. -"""" ,I"",,""."'.""., """'"""""" <br /> <br />1$ I <br />1$ I <br />1$ I <br />1$ 9:/.).00 I <br /> <br />D GAS 0 ROOFING D SPECIALTY 0 OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />11111111111111111111111"11111"11111'11111111'11111111111""-""1111'1"'111111111111111'1'1111111111'111i'III"""'IIIIIIIIIIIIIIII"'I""I' <br /> <br />I ~f{-hfe!r;!",.tt'~~N <br /> <br /> <br />License # I <br /> <br />~I et:....jr-; <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />ADD/AL T <br />REPAIR <br />COMM <br />FRAME <br /> <br />I <br />D <br /> <br />OTHER I <br /> <br />D <br /> <br />BUILDING <br /> <br />1&660'C'" <br />L/OOIC.,() <br />2[;D.Od <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D <br /> <br />ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R,E.C. <br /> <br />PLUMBING <br /> <br />D <br /> <br />MECHANICAL <br /> <br />VALUATION OF MECHANICAL INSTALLATiON <br /> <br />BUILDER <br />SIGNATURE <br /> <br /> <br />Address; <br /> <br />.-:::> <br /> <br />COMPANY <br />REGISTERED <br /> <br /> <br />Address, <br /> <br />MECHANICAL ! <br />SIGNATURE . <br /> <br />Address, <br /> <br />OTHER I <br />SIGNATURE <br /> <br />Address, I <br /> <br />ELECTRICIAN! ~ <br />SIGNATURE ~ <br /> <br />Address; <br /> <br /> <br />~~::,t~E ! ~ <br />~~~ <br /> <br />.=:':) <br /> <br />COMPANY <br />REGISTERED <br /> License # <br />COMPANY I.~~ ALG <br />REGISTERED FEE CURRENT I{Yj).J I <br />Vj)N <br /> License # <br />COMPANY <br />REGISTERED Y/N FEE CURRENT Y/N <br /> License # <br /> <br />111'111111111111111111111111111111111111111111111111111.1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <br />RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; RcO-W Permit for new construction, <br />Minimum ten (10) working days after submittal date. Required onslte, Construction Plans, Stormwater Plans wI Sill Fence installed, <br />Sanitary Facilities & 1 dumpster; Site Work Permit for subdlvlslonsllarge projects <br />COMMERCIAL 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 onsite, 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 />SIGN PERMllI Attach (2) sets of Engineered Plans. <br />....PROPERTY SURVEY required for all NEW construction. ,.:,'..;., <br />II1111111111111111111111111111111111111111111111111111111I1111111I i 11111111111111111111111 t i 111111111111111111111 i II iI t I fir II t II f I i 1I1111111I11111 <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 NC Fences (PloVSurvey/Footage) <br /> <br />Driveways-Not over Counter If on public roadways, ,needs ROW <br />