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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 />5;?fye <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Owner's Name <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Name <br /> <br />JOB ADDRESS <br /> <br />LOT # <br /> <br />I <br /> <br />B <br />Li2r <br />D <br />(,)~Le L(l~. ~~~l c1tvtLf/J.S <br /> <br />SQ FOOTAGE I 4:~ 'to <br /> <br />SUBDIVISION <br /> <br />g <br /> <br />PROPOSED USE D <br />TYPE OF CONSTRUCTION D:ZI <br /> <br />I veL.) <br /> <br />BUILDING SIZE I "5'0 'I )( ~ S' ' I <br /> <br />1$'11',,8t5~o 0 <br /> <br />. <br /> <br />0Zl ELECTRICAL 1$ S 'I', bSO, I.J to <br /> <br />[J2] PLUMBING 1$ 11 co\.?, (IV <br /> <br />@ MECHANICAL 1$ '}Q/.50\J. 0'0 <br /> <br />D GAS CJ?' ROOFING <br />FINISHED FLOOR ELEVATIONS I' \:) ~\...;t'J\ e..,."'fr,\Lj <br />, f, t. 6> <br />111I1111111111111111111111I111111111111111111111111111111111111111111111111111111111111I111111111111111111111111111I1111111111111I1I1111I111111111 <br /> <br />:~~~~RE I &~ L ~ ;~s'::': L'<r<:,~cf,. <br />IC <br /> <br />WORK PROPOSED <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />ADD/AL T <br />REPAIR <br />COMM <br />FRAME <br /> <br />D <br />D <br />D <br /> <br />DEMOLISH <br /> <br />OTHER <br />STEEL <br /> <br />I <br />o <br /> <br />HEIGHT <br /> <br /> <br />DESCRIPTION OF WORK <br /> <br />,~..j~.... 'lI-Ct( Is <br /> <br />t<.d Ie <br /> <br />~ <br /> <br />BUILDING <br /> <br />I <br />I <br />I <br />I <br />D <br />I <br /> <br />.. . <br />AMP SERVICE i.{ C 0 <br /> <br />oz( <br /> <br />PROGRESS ENERGY <br /> <br />W.R.E.C, <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />D <br /> <br />V'~ "'lf~ <br />tJ~S' ~;p. - <br />VALUATION OF MECHANICAL INSTALLATION ~ ~ - <br />('(" m COf>'{ :3) /5/07 <br />OTHER ~ <br />c==JYES ~NO . <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />Address <br /> <br /> <br /> <br />License # <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />I (y)/ N <br /> <br />Address <br /> <br />Address <br /> <br />lve)/c <br /> <br /> <br />COMPANY <br />REGISTERED <br /> <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />License # <br /> <br />I c..Fc ,l(~~10L <br /> <br />MECHANICAL COMPANY ctt)'r A c C~'lt""t' cv11.-f <br />SIGNATURE REGISTERED I (yj N I FEE CURRENT I (~IN I <br /> <br />Address /J:JJ.'. tZ7r' F;/. License # /0,41 C. ()O Sf'S- 7 5>'1 <br /> <br />~ I I ~~ I <br />SIGNATURE , ,REGISTERED Y / N FEE CURRENT Y / N <br /> <br />Address I I License # I I <br />1111111111111111111111111I111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I111I11I1I11111I1I111 <br />RESIDENTIAL 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 />COMMERCIAL 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 />SIGN PERMIT Attach (2) sets of Engineered Plans. <br />.."PROPERTY SURVEY required for all NEW construction., <br />II.IIII!IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <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 A1C Fences (PloUSurvey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br /> <br />.. <br />