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<br />813-780.0020 <br /> <br />City of Zephyrhills Permit Application <br />8uilding Depanment <br /> <br />Fax-813-78o.o021 <br /> <br />Dale Received <br /> <br />NOC-Dade City <br />SS"-j<.:, -07 <br /> <br />REC" <br /> <br />Owner's Name Smith, <br />Owner's Address 14801 <br /> <br />Fee Simple Titleholder Name [ <br /> <br />Ray & Kathleen Owner Phone Number <br />Airport Rd" -Z" Hills, FL33.$420wner Phone Number I <br />I Owner Phone Number I <br /> <br /> <br />-=-~ e 0.( fvksS" ~ <br />. Q.Cf'\I-th ncr <br /> <br />SUBDIVISION <br /> <br />Est. East <br /> <br />I LOU I <br />C~ndfiARCELID#113-26-21-0130-00200-2140 <br /> <br />(OBTAINED FROM PROPERTY TAX NOnCE) <br /> <br />I <br />I <br />I <br />214 I <br />(Card~ <br /> <br />001 of 001) <br /> <br />Same <br /> <br />JOB ADDRESS <br /> <br />Fee Simple Titleholder Address <br /> <br />I Same <br /> <br />IZephyr <br /> <br />DESCRIPTION OF WORK <br /> <br />B <br />o <br />o <br />lnstl" Glass <br /> <br />SFR Lanai <br />BLOCK <br /> <br />OTHER <br />STEEL <br /> <br />WORK PROPOSED <br /> <br />NEW CONSTR <br />INSTALL <br /> <br />SIGN <br /> <br />D <br /> <br />MOVE D <br /> <br />DEMOLISH <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />dr" & <br /> <br />I <br />Ii] OTHER I f.lalB <br /> <br />2-transoms in exist" alcony <br />I 8' 3" opening. behind exist" <br />, gUardrall. <br /> <br />9' 5"x: <br /> <br />un 1 <br /> <br />SQ FOOTAGE I <br /> <br />HEIGHT <br /> <br />BUILDING SIZE <br /> <br />ITI BUILDING IS 2,620"00 I VALUATION OF TOTAL CONSTRUCTION <br />D ELECTRICAL 1$ I AMP SERVICE D PROGRESS ENERGY D w.R.E.C. <br />D PLUMBING IS I <br />D MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION <br />D GAS D ROOFING D OTHER <br /> DYES DNo <br /> <br /> <br />Keith B" Wood-CBC125062 <br /> <br />BUILDER <br />SIGNATURE <br /> <br />Address 16005 W" Hwy" 17-92 Haines Ci t y . I FL 33844 License# ICBC1250625 <br />ELECTRICIAN I COMPANY I <br />SIGNATURE REGISTERED L!i.!U FEE CURRENT l...r.!!U <br />Address I License # <br />PLUMBER I COMPANY <br />SIGNATURE REGISTERED L!i.!U FEE CURRENT I Y I N I <br />Address I License # <br />MECHANICAL I COMPANY <br />SIGNATURE REGISTERED L!i.!U FEE CURRENT l...r.!!U <br />Address I License # <br />OTHER I Dale Hall-POA COMPANY ISame <br />SIGNATURE REGISTERED L!i.!U FEE CURRENT l...r.!!U <br />Address I Same License # <br /> <br />RESIDENTIAL <br /> <br />Attach (2) Plot Plans; (2) sats of Building Plans; (1) sel of Energy Forms <br />Minimum len (10) working days after submlll8l dele. Required ons~e, Construction Plans, San~Bry Facil~ies & 1 dumpster <br />Attach (3) Sels of Building Plans; (1) set of Energy Forms. <br />Minimum len (10) working days after submlll8l dele. Required ensile, Construction Plans, Sanitary Facilities & 1 dumpster <br />All commerciel requirements mUSI meet compliance. <br />Attach (2) sets of Engineered Plans. <br />-PROPERTY SURVEY required for all NEW construction. <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Directions: <br />Fill out application complately. <br />Owner & Contractor sign back of application, nOl8rizad <br />If over 52500, a Notice of Commancemenl is required. (AlC upgrades over 55000) <br /> <br />Agent (for Ihe contractor) or Power of Allorney (for the owner) would be someone wnh nol8rized laller from owner authorizing same <br /> <br />OVER THE COUNTER PERMITTING (Front of AppllcaUon Only) <br />Reroofs SewersServi ce Upgrades AlC <br /> <br />Fences (PloVSurveylFoolege) <br /> <br />DriveWlys-Not over Counter n on public roadwaysuneeds ROW <br />