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<br />813-780-0020 <br /> <br />eity of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br />Date Received <br /> <br /> <br /> <br />- 0 -01 <br />Owner's Name jEfF1=C'fZ v.J5'Nf>'1 A.. uJ; i.SON <br />Owner's Address 15'/2.?Q tt; snre-rr" 'Ze/'#(L. <br />Fee Simple Titleholder ~amer SA-"" E"' <br /> <br />3'.1~ <br />I <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number l <br /> <br />Owner Phone Number I <br /> <br />Fee Simple Titleholder Address 'I S~ ~ <br /> <br />zeP~l{IE"~.\'\\S" J FL. 3'354:2- LOT# IOOqo <br /> <br />I <br /> <br />PARCEL ID#I\ \ - 2b - -z,L -0010-1 q 3t>lJ":' oaC1 0 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />D NEW CONSTR ~ AD~ 0 S"GN D MOVE 0 <br />D INSTALL ~ REPAIR <br />PROPOSED USE ~ SFR 0 COMM 0 OTHER I <br />TYPE OF CONSTRUCTION 0 BLOCK ~ FRAME 0 STEEL D OTHER I <br /> <br />DESCRIPTION OF WORK K 11-C ~ g-N 12'8' MOOe-L e.LE:c.TfZ iCJ 1!!! .Ie \? Crf~ 0 OCA.-1-, <br /> <br />~UILDINGSIZE I g"],')( 381 ,I SQFOOTAGI~I I06D LV I HEIGHT I rz'-o'" Ie, S'n>~'1) <br /> <br />."............................'...........;...........................................:.........................................................,' <br /> <br />0" BUILDING 1$ I b 11"2. S _ 00 ' I VALUATION OF TOTAL CONSTRUCTION <br /> <br />0" ELECTRICAL 1$ I AMP SERVICE ~ PROGRESS ENERGY <br />, .3,q~.oo <br />,I SO AMP <br />S PLUMBING 1$ 400. oD I <br /> <br />o MECHANICAL 1$ I <br /> <br />o GAS 0 ROOFING 0 <br />FINISHED FLOOR ELEVATIONS I I <br /> <br />JOB ADDRESS <br /> <br />'I G'~? qth-s~e:&, <br />Il'2)uoJ ~ of "Zef'iL.( ,e~~\.S'1 <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />DEMOLISH <br /> <br />o <br /> <br />W.R.E.C <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />NOCJ --- <br /> <br /> <br />I <br /> <br /> <br />Address LI # I <br /> <br />I cense I <br />OTHER COMPANY ' <br />SIGNATURE REGISTERED I V I N FEE CURRENT V I N <br /> <br />Address I I License # I I <br />11111111111IIII111111111111I11111111111111111111111111I1I1111111111111111111111 i IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIJ 111111111111111 <br />RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms ' <br />Minimum ten (10) working days atter 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 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 />11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <br />Directions: ,,'] <br />Fill out application completely. <br />Owner & Contractor sign back of application. notarized <br />If oyer $2500, a Notice of Commencement Is required. (AlC upgrades over $5000) <br />.., Agent (for the contractor) or Power of Attorney (for the owner) woulcj be someone with notarized letter trom owner authorizing <br /> <br />OVER THE COUNTER PERMITTING (Front of Application OnM <br />Reroofs Sewers SeNice Upgrades AlC <br /> <br />SPECIALTY 0 <br />FLOOD ZONE AREA <br /> <br /> <br />::::~~~R. I ~ HI~~ r / RE~~~~ <br /> <br />Address Izs-ssz> 8L.c.c.G jA'1 PL.. W.~J'~ "33SVQ I <br /> <br />ELE,CTRIClANlf"I:~ ~tM.-~ 3?.'~'OMP_ <br />SIGNATURE ~ J REGISTERED <br /> <br />Address fC?~11 c.onl\i!~N rzcLJ c.e..,. PL. ~3sti/l <br />, I <br /> <br />~rf. f/J~ 35f' ~= <br /> <br />Address 387'1-<( JflAl'1 sf.{ e--~-:;rl "'Z'd~'J R.5$Sf4 <br />, <br /> <br />I COMPANY <br />REGISTERED <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Driveways <br /> <br />OTHER <br />DYES <br /> <br />~ <br /> <br />License # <br /> <br />V/N <br /> <br />vrN <br /> <br />FEE CURRENT <br /> <br />Fences <br /> <br />