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<br />813-78~-OJ20 <br /> <br />Date Received <br /> <br /> <br />City of Zephyrhills Permit ApplicatiGD\SCO PE-::orv'T S:::~VC~x-813-780-0021 <br />Building Department B 1 3-78(,.5314 tf fi I B v <br /> <br />Owner's Name <br /> <br />CtUI Keil-h Correi <br />Owner Phone Number <br />Owner Phone Number [ <br /> <br />Owner Phone Number [ <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Name <br /> <br />Fee Simple Tltleholl:fer Address I <br />JOB ADDRESS 13~1qg 5+h A-v'~, Zephyrhi/(5) FL 365"12- LOT # <br />SUBDIVISION I I PARCEL 10#1 !/-d.-0 -;2/ -0010 -/75"00 - 0011 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED B NEW CONSTR B ADD/AL T D SIGN D MOVE D DEMOLISH <br /> INSTALL REPAIR <br />PROPOSED USE D SFR D COMM D OTHER I <br />TYPE OF CONSTRUCTION D BLOCK D FRAME D STEEL D OTHER I <br />DESCRIPTION OF WORK I /(00111 Add i+/'on <br />BUILDING SIZE 131'/.'34) I SQ FOOTAGE I Lflf J. t/1 HEIGHT I <br /> <br />1111111,' r 1'1111111111' I1I1IIIIIII r I r 111111.' III r II W, IIIII r 11111111" 111111"',111111111111111," 11111111.' 11111111111'..'. 11"111'" 1111111'." II <br /> <br />1$ / OJ 000. 0-2. I <br /> <br />, <br /> <br />1$ I <br />1$ I <br />1$ I <br /> <br />D GAS D ROOFING D SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I1111111111111I11111111111111111I11111111111111 <br /> <br />BUILDER ! ~;I~ <br />SIGNATURE <br />Address . <br /> <br />ELECTRICIANI~ ~~ /J <br />SIGNATURE . ~ <br /> <br />Address <br /> <br />=:c:'::'~~E I ~)I~ I <br />I <br /> <br />D BUILDING <br />D ELECTRICAL <br />D PLUMBING <br />D MECHANICAL <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C, <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />Y/N <br /> <br />I <br />I <br />I <br />J <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />COMPANY <br />REGISTERED <br /> <br />() t()fV fJG <br />I YI N I <br /> <br />FEE CURRENT <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />IOfA)f'lEfL <br />I Y I N I <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />O(J)/IIE'e- <br />I Y I N I <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br /> <br />MECHANICAL j <br />SIGNATURE . <br /> <br />Address <br /> <br />OTHER I <br />SIGNATURE <br /> <br />Address I License # <br /> <br />111111111111111111I1111111111111111111111111111111111111111111111111I1111111111111111111111111111111111111111111111111111111111111111I1111111111111 <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 />Attach (3) sets of Building Plans; (1) set of Energy Forms. <br />!:inimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster <br />II commercial requirements must meet compliance. <br />ttach (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 f10tice of Commencement is required. (AlC upgrades over $5000) <br /> <br />Agent (for the conitractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same <br /> <br />OVER THE COUNTE~ PERMITTING (Front of Application Only) <br />Reroofs ~ewers Service Upgrades AlC Fences (PloUSurvey/Footage) <br /> <br />License # <br /> <br />~~ I COMPANY I () ()) It E:)L <br />REGISTERED I YI N I FEE CURRENT Y/N <br /> License # <br /> COMPANY <br /> REGISTERED Y/N FEE CURRENT Y/N <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Driveways-Not o~er Counter if on public roadways..needs ROW <br />I <br />