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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 />Date Received <br /> <br /> <br /> <br />']- 2o-0Co <br />Owner'sName \\ci\ \'v. Owner Phone Number ~ ?G. - 7001' <br />Owner's Address I 3 5'~ ~t=eR[d~ U.AN l"" Owner Phone Number I ~ IJ rJ1 ~ <br />Fee Simple TItleholder t4ame~ \ I ~~~o.)c~Jk ~ AWle. ~ Owner Phone Number 1-"7/ '1-.3 7tJ;-70..s- / <br /> <br />Fee Simple Titleholder Address 135"~ t. ~~t2 " J ~ l h..A- tv e <br /> <br />1.!36"5~ 'RR.~d'\{ kAf'le I LOTI 1239 I <br /> <br />IEmt'MLt/ ~/NIe- R~ P1:'::ELlD#12-'1.'2c..-Z/--C:;07{J'.00I:700 -2:090 <br />~e~ (qBTAINED FROM PROPERTY TAX NOTICE) <br />D NEW CONSTR ~ R~DD/~T 0 SIGN D MOVE 0 DEMOLISH <br />D INSTALL D REPAIR <br />PROPOSED USE 0 SFR D COMM 0 OTHER <br />TYPE OF CONSTRUCTION 0 BLOCK D FRAME 0 STEEL <br /> <br />DESCRIPTION OF WORK AJjIJ I IV A ~C Re.e..N Roo W'\ t 1:) L A rJ ~ '\ <br /> <br />~UILDING SIZE I /0 ',x j z.. I SQ FOOTAGE I / 2 OS($) I HEIGHT I Cj' ) / " I <br /> <br />." ,..,..........,.."...,.... '.'.......'.;..'..'..'......;..... .~.:g'~""""""""""""""""""""""""""'"'''''''''''''''' <br /> <br />D BUILDING 1$ 2,t.OO.0('3 I VALUATION OF TOTAL CONSTRUCTION <br />D ELECTRICAL 1$ <2 D () I (:) CJ I AMP SERVICE .'(~ PROGRESS ENERGY <br /> <br />I ' <br />D PLUMBING 1$ I <br /> <br />D MECHANICAL 1$ ~DVALUATION OF MECHANICAL INSTALLATION <br /> <br />PA.N- ~ /... <br />D GAS I X I ROOFING SPECIALTY 0 OTHER <br />r---- <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES WNO <br /> <br />1111111111111111111' I' '111111111111111111111111111111111111' 1111I111111 ~2~ 1 ~ lilllll' I' 1111' 11111111111111111111111""" 1111' 1'111'11'111'11111, <br /> <br />BUILDER ~ \\ () "~... COMPANY f-\~~ <br />SIGNATURE REGISTERED Y I N I FEE CURRENT Y I N <br /> <br />License # I <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br /> <br />D <br /> <br />W.R.E.C <br /> <br />5,;~(]>'- <br />~~ <br /> <br />ELECTRICIA <br />SIGNATURE <br /> <br /> <br />~e <br />~~t~ :7~O~PANY <br /> <br />REGISTERED <br /> <br /> <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br /> <br />I License # I I <br />I111111111I111I11111111I11I111111111111I1111111I111111111111111 i 111111111111111111111111111111111111111111111111111111111111111111 <br />Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms <br />Minimum ten (10) working days atter submittal date. Required onsUe, Construction Plans, Sanitary Facilities & 1 dumpster <br />Attach (3) sets of Building Plans; (1) set of Energy Forms. <br />Minimum ten (10) working days atter submittal date. Required onslte, 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 />111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 '11111111111111111111111111111111111111 <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. (Ale 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 />Y/t}r~~~ Y/N <br /> <br />Address <br /> <br />~~c, <br />I <br /> <br />License # <br /> <br />PLUMBER <br />SIGNA lURE <br /> <br />)...I 0 IV-e.. <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 />NCN -e... <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 />I YI N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br />111111111111111 <br />RESIDENTIAL <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Driveways <br /> <br />Fences (PlotJSurvey/Footagi!) <br />