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<br />Owner's Addl'8llS <br /> <br />Fee Simple TrUeholder Name I 5 t\'\ <br /> <br /> <br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />d:t <br /> <br />Date Received <br /> <br />Owner's Name <br /> <br />.~ <br /> <br />".. , <br />t:' <br />t!i~(~,II(, COIDNi~;t <br /> <br /> <br />1)7( NEW CONSTR E3 ADD/ALT 0 <br />D INSTALL REPAIR <br /> <br />PROPOSED USE 0 SFR D COMM 0 OTHER I <br /> <br />TYPE OF CONSTRUCTION IZI BLOCK D FRAME 0 STEEL 0 OTHER c= I <br /> <br />DESCRIPTION OF WORK I ~I c v0 (u tJ~.fu c..+ \U IV ,~ F,h ( ~, . K \.1\ \ (~ \ 1'.)\,,(-, 0.). l..i') <br /> <br />BUILDING SIZE LbO I ~ S /) II SQ FOOTAGE I "3 ODD I HEIGHT I 18 . S I t--~ r.ct::u R- 0 .cD. <br />D I - ~1<2J · <br />BUILDING $3 ~ l, 500, VALUATION OFTOTALCONSTRUCTION_ L~(\:sJ...~ SI2.. ""'.7 t//oO-' <br />D ELECTRICAL 1$ ~ (): 000 AMP SERVICE E2f' PROGRESS ENERGY D WRE,/, <br />D ,w.."," ~ 5: . rV.auJ,~.().~ ~c. -:--~cl<. I j, <br />J DO .y-Pe.rroj)l)-~ho..ue.\+--~ -\/260 SC~~ ~ll "" <br />D MECHANICAL 1$ " I 7 0 0 I VALUATION OF MECHANICAl INSTALLATION -: ~~~-~(\t .llll 101<:> <br /> <br />cz1 GAS [:zll ROOFING D SPECIAlTY 0 OTHER / --l~() S\-r 0C. _\-u-mJl. - un+ \ \ <br />FINISHED FLOOR ELEVATIONS I 't D' I FLOODZONEAREA DYES r:z:(No F'T1(DL O\c.~ <br /> <br />JOB ADDRESS <br /> <br />SUBONISION <br /> <br />WORK PROPOSED <br /> <br />o <br /> <br />MOVE 0 <br /> <br />DEMOLISH <br /> <br />Address <br /> <br /> <br />-f!. II ;(~S <br /> <br />BUILDER <br />SIGNATURE <br /> <br />Address <br /> <br />ELECTRICIAN <br />SIGNATURE <br />n r.:>\ <br />()7&/ ~ r #:r:)p~-,~~ <br />L)~1li!!.A UlI\P€i-/L:,o ',,"1-, <br />. . \ PLUMBER <br />SIGNATURE <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />Address <br /> <br />License # <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />~ FEECURRENT <br /> <br />~ <br /> <br />AddI'8lIS <br /> <br />License # <br /> <br />RESIDENTIAL <br /> <br />Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms <br />Miniml.l11 ten (10) wor1<ing days after submittal dale. Required ons~e, Construction Plans, Sanitary Facilities & 1 dl.l11pster <br />Attach (3) sets of Building Plans; (1) set of Energy Forms. <br />Minimum ten (10) working days after submittal dale. Required ons~e, 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 /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />OInoct1ons: <br />Fill out application completely. <br />Owner & Contraclor sign back of application, notarized <br />If ......r $2500, a Notice of eonur-cement is required, lAIC upgrades OYeT $5000) <br /> <br />- Agent (for the contraclor) Of Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same <br />OVER THE COUNTER PERMITTING (Front of Application Only) <br />Reroofs Sewers Service Upgrades AlC Fences (PIotISurveylFootage) <br /> <br />Driveways-Not over Counter W on public roedways..needs ROW <br />