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<br />Owner's Name JOHN T. I <br />Owner's Address I 9301 DENTON AVE., lRJDSON, FL <br /> <br />Fee Simple Titleholder Namel <br /> <br /> <br />City of Zephyrhills Permit Application Fax-813-780-0021 <br />Building Department (] 1/ t/e.K.. c!. e't.J- '1~ /f- j 1./5-0 /f1J/ <br /> <br />813-780-0020 <br />, <br /> <br />Date Received <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Fee Simple Titleholder Address <br /> <br />BUILDING SIZE <br /> <br />B <br />D <br />[TI <br />I Block wall/23'WXS4'LXI0'H <br />SQ FOOTAGE I <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />ZEPHYRHIIJ.S, FL LOT # <br /> <br /> <br />I PARCELlD#I.Q4--~'d.\-GOCG ,(-".:AOn .C\/O <br />(OBTAINED FROM PROPERTY TAX NOnCE) <br /> <br />G::J ADD/AL T D SIGN 0 MOVE D <br />D REPAIR <br /> <br />D COMM D <br /> <br />D FRAME D <br /> <br />DEMOLISH <br /> <br />JOB ADDRESS <br /> <br />3961 COPELAND DRIVE, <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />OTHER I t'ence/Perim1b~r wall <br />STEEL D OTHER I <br /> <br />DESCRIPTION OF WORK <br /> <br />HEIGHT I <br /> <br />I <br />I <br />I <br />I <br />D <br />I <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY D W.R.E.C, <br /> <br />tp-'4-cn - p_:............. r'lf)l lit.. p,Ju..::, <br />I~~. <br /> <br />BUILDING\'1....."...PI$ / ~" . ~~ <br />rv . F / .;;; DO . . <br /> <br />D ELECTRICAL 1$ <br /> <br /> <br />D PLUMBING 1$ <br /> <br /> <br />D MECHANICAL 1$ <br /> <br /> <br />D GAS D ROOFING <br /> <br />FINISHED FLOOR ELEVATIONS I <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY D OTHER <br />FLOOD ZONE AREA DYES <br /> <br />DNO <br /> <br />BUILDER <br />SIGNATURE <br /> <br /> <br /> <br />COMPANY <br />REGISTERED <br /> <br /> <br />COMMERCIAL <br /> <br />I <br />I <br />I <br />I <br /> <br /> <br />Address License # I <br /> <br />MECHANICAL I COMPANY I <br />SIGNATURE REGISTERED Y I N FEE CURRENT Y IN <br /> <br />~~I ~~# I <br /> <br />OTHER I COMPANY I <br />SIGNATURE . REGISTERED Y I N FEE CURRENT Y I N <br /> <br />Address I License # I <br />1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I1111111111111111111111111111111I1111111111111111111111111 <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 />Minimum ten (10) working days after submittal date. Required onslte, 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) 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 AlC <br /> <br />Address <br /> <br />9301 DENTON AVE., HUDSON, FL <br /> <br />License # <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />YIN <br /> <br />FEE CURRENT <br /> <br />YIN <br /> <br />Address <br /> <br />License # <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y I N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />SIGN PERMIT <br /> <br />Fences (PloUSurvey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />