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<br />813:-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />r-aX-tll"-'OU-UUL I <br /> <br />Date Received <br />111111111111 <br /> <br />/ OWner.s Name <br /> <br />/(-I- 0 b <br />~ It1 ~ ilto E ; 56 It! /1,/ <br />Owner's Address r /'1" e. A- y r t) Mild, /. E u.//S MJV AI ff, <br />Fee Simple Tltleholcler NameL~f'flJ DE!? J 55 CJ /1/ Owner Phone Number <br /> <br />Fee Simple TltlehOI~er Address 1/'11 C- If Y TL/ AJ RD. J 13" tv / 57b /lJ~AI E. t/ ~ .ll/ 0 <br />I CA5T 5/ IJE 1.6 J ~ ~.s/J~3~ ern, are~ I <br />I I PARCEL ID#I I p. ~ J( . ; I eo.P A 00/ tfO <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />c=l ADD/ALT D SIGN D MOVE D <br />CJ REPAIR <br />o COMM D <br />o FRAME D <br /> <br /> <br /> <br />Owner Phone Number <br /> <br />JOB ADDRESS <br /> <br />LOT # <br /> <br />SUBDIVISION <br /> <br />OCJII <br /> <br />DESCRIPTION OF WORK <br /> <br />~ <br />[]2l <br />[E] <br />IA-"?"w <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />DEMOLISH <br /> <br />WORK PROPOSED <br /> <br />OTHER <br />STEEL <br /> <br />PROPOSED USE <br />TYPE OF CONSTRLkTION <br /> <br />I <br />D <br /> <br />OTHER I <br /> <br />BUILDING SIZE <br /> <br />lft'~ y <br /> <br /> <br />fit') M E <br />SQ FOOTAGE I/~.;Z/.(.f j~~~~ k'~ HEIGHT <br /> <br />lilt I "t';' <br />. <br /> <br />m BUILDING 1$ / J- 0 / ~ . ()O I <br />IT:] ELECTRlt 1$ 6: root' CJZ:) I <br /> . <br />W PLUMBIN 1$ 39' 70 ' tJ-O I <br /> I , <br />rn MECHANICAL 1$ '1.7 S""-() -rJ:J I <br />D GAS D ROOFING 0 <br />FINISHED FLOOR ELEVATIONS <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />L7d3 <br /> <br />PROGRESS ENERGY <br /> <br />[L} W.R.E.C, <br /> <br />Address <br /> <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />OTHER <br />DYES <br /> <br />~GtI <br />oS. ICx'Y\~ l't.ed <br />O'dn,~06 ^Pf>/1~ <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />[ENO <br /> <br />~UILDER <br />SIGNATURE <br /> <br /> <br />Address <br /> <br />License # I C!..I2..C-O 3;,4 J':cll <br />~ 9 ~'<.o.J I~../ I <br />LV N I FEE CURRENT I rev N' I <br />License # n ~~ 'i. I <br /> <br />I ~~'t ~E~~~' ~~ 'j J I <br /> <br />Ucense# I '-.R \lt~SSct::J~ I <br />lAfGJl4' f 1j9;va //VL <br />N <br /> <br /> <br />License # <br /> <br />Address <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />Address <br /> <br />OTHER <br />SIGNATURE Y / N FEE CURRENT <br /> <br />Address . License # I I <br />1111111111' 11111' II Ii 11111111111111111111' 1111' 11111111111111111111111111' 1111111111111111111111' 11111111111111111111111111111111111111111111111111 <br />RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction, <br />Minimum ten (10) working days after submittal date. Required onsile, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br />, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects <br />COMMERCIAL ' Attach (3) sets of Building Plans; (1) set of Energy Forms. R-O-W Permit for new construction. <br />Minimum ten (10) working days after submittal date. Required onslte, Construction Plans, Stormwater Plans w/ Silt Fence Installed, <br />Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance <br />SIGN PERMIT Attach (2) sets of Engineered Plans. <br />"'-PROPERTY SURVEY required for all NEW construction. <br /> <br />Directions: <br />Fill out apPlica~i n completely. <br />Owner & Contr ctor sign back of application, notarized <br />If over $2500, Notice of Commencement Is required. (AlC upgrades over $5000) . <br /> <br />.. Agent (for the ntractor) or Power of AttO. mey (for the owner) would be someone with notarized letter from oWner authorizing same <br /> <br />OVER THE COUNT R PERMITTING (Front of Application Only) <br />Reroofs I Sewers Service Upgrades NC Fences (PloUSurvey/Footage) <br /> <br />Driveways-Not ~>ver Counter If on public roadways..needs ROW <br />