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<br />813.780.0020 <br /> <br />City of Zephyrhills Permit App' <br />Building Department <br /> <br />Date Received <br /> <br /> <br />Phone Contact for Permitting <br /> <br /> <br />Owner's Name <br /> <br />,;l. v) I {) <br />PASco ~lON~ M~'btC. <br />111100 Fl". ~\,J'" ~~. <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Name I <br /> <br />Fee Simple Titleholder Address I <br /> <br />Co 'l,.. \ ~ <br /> <br />'trm~~~ONAl:-, <br /> <br />-:('mPleteFire ' ION INc. <br />ProtectJon (" . lYWw.candoifp <br />jef1/1ce" .COm <br /> <br />.Wayne Le . <br />DIstrict D . nlgan <br />3~1; <: eSlgn Manager <br />Lak uite 101 <br />8 7-048 33811 <br />863-57;'-0486 Fax Cell: 863- <br />W/enigan@ 89.9-9071 <br />24-HOUR EMERGe. candoifp.com <br />NCy SERVICE <br />LOT # I IDle -\ (.;f:> <br /> <br />I <br /> <br />~l?oTr S~o-...) J)(J.,,,E:. <br />I <br /> <br />B <br />D <br />D <br />i>~\\~ <br /> <br />JOB ADDRESS <br /> <br />PARCEL 10# I <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />~ <br />o <br />o <br />I :c"'S~ <br />I <br /> <br />VALUATION OF TOTAL CONSTRue TION <br /> <br />WR.E.C, <br /> <br />NEW CONSTR <br />INSTALL <br /> <br />ADD/AL T <br />REPAIR <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />SFR <br />BLOCK <br /> <br />COMM <br /> <br />FRAME <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />SQ FOOTAGE I <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br /> <br />o <br /> <br />~ OTHEF 1t',,,,E; '"'it"l"'~ <br />o STEEL D OTHER I <br />F,~ .c~,,~..J~ ~~~ <br /> <br />I HEIGHT I I <br />. <br /> <br />SIGN <br /> <br />D <br /> <br />DEMOLISH <br /> <br />MOVE 0 <br /> <br />D <br /> <br />1$ <br /> <br />D ELECTRICAL 1$ <br /> <br />D PLUMBING 1$ <br />I 0) OC,>C"> <br />D MECHANICAL 1$ <br /> <br />D GAS 0 <br />FINISHED FLOOR ELEVATIONS I <br /> <br />BUILDING <br /> <br />I <br />1 <br />1 <br />I <br />D <br />I <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />OTHER <br />C= YES <br /> <br />NOC- <br />G.~.~ O?a. dD <br />i~~ <br /> <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />f=JQo tE:CTL6,.J <br />I <br /> <br />ROOFING <br /> <br />VALUATION OF MECHANICAL INSl AI.LATION <br /> <br />SPECIALTY 0 <br />FLOOD ZONE AREA <br /> <br />DNO <br /> <br />BUILDER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br /> License # <br />COMPANY L;;] <br />REGISTERED FEE CURRENT <br /> License # <br />COMPANY ~ <br />REGISTEREO FEE CURRENT <br /> License # <br />COMPANY C;;;; <br />REGISTERED FEE CURRENT <br /> <br />Address <br /> <br />ELECTRICIAN I <br />SIGNATURE , <br /> <br />Address I <br /> <br />PLUMBER I <br />SIGNA TURE <br /> <br />I <br /> <br />Add ress <br /> <br />MECHANICAL I <br />SIGNATURE <br /> <br />Address <br /> <br /> <br />OTHER <br />~\ C. \-riGNATURE <br /> <br />PL. '3~S\:> Address <br /> <br />RESIDENTIAL <br /> <br />FEE CURRENT <br /> <br />~ <br /> <br />~ <br /> <br />~ <br /> <br />~ <br /> <br />Jcense # I <br /> <br />Ix,J n;''''IIIAT\OJ~ ~ <br />~ J FEE CURRENT Y / N <br /> <br />Ucense # I <br /> <br />COMMERCIAL <br /> <br />. <br /> <br />Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms <br />Minimum ten (10) working days after submittal date, Required onsite. Construction Plens, Sanitary Facilities & 1 dumpster <br />Attach (3) sets of Building Plans; (1) set of Energy Forms, <br />Minimum ten (10) working days after submittal date, Required onsite, Construction Plens, 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 /> <br />SIGN PERMIT <br /> <br />. <br /> <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. (A/C 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 <br /> <br />Driveways.Not over Counter if on public roadways..needs ROW <br /> <br />Fences (PloVSurvey/Footage) <br />