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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building DeplWtment <br /> <br />Fax.a13-780-0021 <br /> <br />-- ~ ~. z;Sv1 <br />Owner"sName L~ / '?z:Lfl- <br />Owner'. Add....... I?'i( Z";"- <:51'9 L L <br />Fee Simple TrtlehoIdlIr Name I <br /> <br />WORK PROPOSED <br /> <br />@ <br />D <br />D BLOCK <br />hzvSt:?9LL <br />I <br /> <br />NEW CONSTR <br />INSTAlL <br />SFR <br /> <br />Vi I/}::> LOTI I <br /> <br />I PARCELlOItI3Y'~,)--ZI- 0 I"'~-<.:) -"OcAQO - .1010 <br />(OBTAINED F_ PROPERTY TAX NOTlCEI <br />D ADD/ALT D SIGN D MOVE D <br />D REPAIR <br />o COMM D <br />o FRAME D <br /> <br />----~~ I <br />Owner Phone Number ?,2 'f-;? (~ ~ )~ <br />I Owner Phone Number I 513 -(;''0,) -39,7 (0 I <br />I Owner Phone Number I I <br />I <br />I <br />I <br /> <br />'6L/D <br /> <br />Fee Simple TItleh0Ider ~ <br /> <br />JOB ADDRESS <br /> <br />?g~~ (b/f-L-~ <br /> <br />SUBDIVISION <br /> <br />DEMOLISH <br /> <br />PROPOSED USE <br />TYPE OF CONSTRucnON <br /> <br />OTHER I <br />STEEL D <br /> <br />OTHER I <br /> <br />cJ:,,) .LII-/,r.. fJ;:>:>/ ,o:1l'1C-("-- <br />SQ FOOTAGE I <br /> <br />- S' <br />1-/f2F < :1.',i.7,;>~<\jmJ <br /> <br />I HEIGHT I <br /> <br />Sj,-s /c-rv; <br />, I <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />D BUILDING 1$ <br />D ELECTRICAL 1$ <br />D PLUMBING 1$ <br />D MECHANICAL I~, cl(}-C} . UC <br />D GAS D ROOFING <br />FINISHED flOOR ELEVATIONS I <br /> <br />I <br />I <br />I <br />I <br />o <br />I <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />w.R.E.C. <br /> <br />VAlUATION OF TOTAl CONSTRUCTION <br /> <br />VALUATION OF MECHANICAL INSTAlLATION <br /> <br />SPECiAlTY D <br />flOOD ZONE AREA <br /> <br />OTHER <br />DYES <br /> <br />DNO <br /> <br />BUILOER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED Lr.L..!:!....J FEE CURRENT L.Y.!!U <br /> License # <br />COMPANY <br />REGISTERED Lr.L..!:!....J FEE CURRENT L.Y.!!U <br /> License # <br />COMPANY <br />REGISTERED Lr.L..!:!....J FEE CURRENT L.Y.!!U <br /> License # <br /> <br />Addreos <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />Address <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Lr.L..!:!....J FEE CURRENT <br /> <br />L.Y.!!U <br /> <br />Address <br /> <br /> <br />License # I <br /> <br />15~~... 'U IIY J.tFr CJO~. }~.L~ <br />k::..:!l.U ' FEE CURRENT' L.:!..!!LJ <br />License # 150'::5\ - Zoct.JL.2O:::Ji 1 <br /> <br />OTHER <br />SIGNATURE <br /> <br />Addreos <br /> <br />RESIDEN11AL <br /> <br />AIlach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms <br />Minimum ten (10) working days after submittal date. Required ons~e, Coostruclion Plans, Sanilaly 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 ons~e, Coostruclion Plans, Sanilaly Facilities & 1 dumpster <br />All commercial requirements must meet compliance. <br />Attach (2) sets of Engineered Plans. <br />--PROPERTY SURVEY required for all NEW construclion. <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />DiNc:tIona: <br />Fill out application completely. <br />ewr- & Contractor sign back of application, nolmized <br />If ov.. $2500, a NoIlce rif eon.....lC8o..,t Is....red. (AIC upgI'lIdos ov.. $5000) <br />Agent (for the contractor) or Power of AIIomey (for the owner) would be saneone with notarized letter from owner authorizing same <br /> <br />OVER THE COUNTER PERMITTING (Front of Application Only) <br />Reroofs Sewers Service Upgrades AlC Fences (PIotISurveylFootage) <br /> <br />Dr!VllWllys-NoI over Counter W on public roadways..needs ROW <br />