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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 /> <br />~(pjoq <br /> <br />Date Received <br /> <br />/' Owner's Name <br /> <br />~wner's Address 13~ 500 <br />Fee Simple Titleholder Namel <br /> <br />m~5 LoR..; '"R€.\de.NbACJ, <br />me-Ado wood LbOp <br /> <br />Fee Simple Titleholder Address I <br /> <br />/ JOB ADDRESS 139500 fYlEflCOLUDOd <br /> <br />I <br /> <br />BUILDING SIZE <br /> <br />.5 h E\ \ <br />I <br /> <br />Loop I LOT # I t~o <br /> <br />I PARCELlD#11~c90d\ 0 \ YO 00000 \ ~oO <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />D ADD/ALT D SIGN D MOVE D <br />C2SI REPAIR <br />D COMM. D <br />D FRAME D <br /> <br />''K ~ SUQ ~ C-~ <br /> <br />SUBDIVISION <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />E3 <br />D <br />D <br />'1\,)0 L <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />DEMOLISH <br /> <br />WORK PROPOSED <br /> <br />OTHER <br />STEEL <br /> <br />I <br />D <br /> <br />OTHER I <br /> <br />p 1$ 1 5.l 000 I Q32. I ALUATION OF TOTAL CONSTRUCTION <br />LJ ,- ID 5. 't)~ :7~IT <br />1$ I AMP SERVICE f D <br /> <br /> <br />1$ I $vt~ <br />1$ I VALUATION OF MECHANICAL INSTALLATION~ I~~ <br /> <br />D GAS D ROOFING D SPECIALTY D OTHER U.$]...e?' <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br />11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <br /> <br /> <br /> <br />HEIGHT <br /> <br />/ DESCRIPTION OF WORK <br /> <br />D BUILDING <br />D ELECTRICAL <br />D PLUMBING <br />D MECHANICAL <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C. <br />, <br /> <br />BUILDER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> License # <br />Y / N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />\(fTHER <br />, ",IGNATURE <br /> <br />Address <br />111111111111111 <br />RESIDENTIAL <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />License # <br />111111111I1I1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111IIIIIIIilllllllllllll <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 Plans, 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 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 over $2500, a Notice of Commencement Is required. (AlC upgrades over $5000) <br /> <br />.. Agent (for the contractor) r P. w Pk..e.~IUtiX~r..th_'l"Vr,lr'.-'re someone with notarized letter from owner authorizing same <br /> <br />OVER THE COUNTER PE ITTING. (Front ,of ABp'11s~tion ~n1y)", tv.;., "," '>.le <br />Reroofs Sewe Se rvlce ;Upgr~de. S,. . Ai? .: ..' ences (Plot/Survey/Footage) .;1'" -"-"~'!" .,1 <br /> <br />Driveways-Not over C nter'if on public road"ray~,..needs ROW. 'i' <br />'l.r ' <br />J.e--.-..-".....-.......... ',.' ...,--- . ,<t; <br />...... .. -. ...~' ......... <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br /> <br />'./ :'.'"'j.... <br />... -' '~'"" <br />i~ '~.>~, ~ <br />'...... ~\ ~... i <br />>..,)....' ,. <br />