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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br />Date Received <br /> <br />II ~ 15,0 <br /> <br /> <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Owner's Name A (\fd~ Sc...c... "t..,.c.....r- <br /> <br />Owner's Address' I -+ \ :3 &' It s'h \~ Of. <br /> <br />Fee Simple Titleholder Name I U2lC- ~ WOvTlLtAJS <br /> <br />6<6\9 I l~ A.~ ce.p <br /> <br />-:t135 Ask(VV'-J L...lidls 33<:;;(./D LOT # I <br /> <br />1A-\pL.~Vd\c..'t)c... Ests I PARCELID#I'~5 gS ~) OOSO ()C(fJJ (j;)IO <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />D NEW CONSTR D AD DIAL T ~ SIGN D MOVE D <br />D INSTALL D REPAIR <br />PROPOSED USE D SFR 0 COMM D <br />TYPE OF CONSTRUCTION D BLOCK 0 FRAME D <br /> <br />DESCRIPTION OF WORK ICLe(II\Qve., t ~'4~ (~) ~I <br /> <br />I SQ FOOTAGE I <br />~dIII"- <br /> <br /> <br /> <br />n <br /> <br />335482. <br /> <br />JOB ADDRESS <br /> <br />I <br />~/ <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />DEMOLISH <br /> <br />OTHER <br /> <br />I <br />D <br /> <br />STEEL <br /> <br />OTHER I <br /> <br />.I:IoJ <br /> <br />'IV"" <br /> <br />Wl.u:bv':> <br />HEIGHT I <br /> <br />__,.I. <br /> <br />5 ft.e.. ~r 'S1et> <br />- <br /> <br />I <br /> <br />BUILDING SIZE <br /> <br />BUILDING <br /> <br /> <br />.' _ _11IO..... <br /> <br />DWIlUIUIIo- <br /> <br />L,E <br /> <br />1$ \O/8--GO <br /> <br />, <br /> <br />o ELECTRICAL 1$ <br /> <br />D PLUMBING l$ <br /> <br />o MECHANICAL 1$ <br /> <br />o GAS D <br /> <br />FINISHED FLOOR ELEVATIONS I <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />ROOFING <br /> <br />I <br />I <br />I <br />I <br />D <br />I <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />(\Joe <br /> <br />Sl~ I~ '~PPI\c:.-~)L <br />(GY"-\(.?A<:,+Ui~, - <br /> <br />SPECIALTY D <br />flOOD ZONE AREA <br /> <br />OTHER <br /> <br />DYES <br /> <br />DNO <br /> <br />BUILDER <br />SIGNATURE. <br /> <br /> <br />~I~IL ,P,~~~,d)< I <br /> <br />License # ~_I:SI 01(0 <br /> <br />ELECTRICIAN I <br />SIGNATURE , <br /> <br />Address l <br /> <br />PLUMBER I <br />SIGNATURE <br /> <br />I <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y I N FEE CURRENT <br /> License # <br />Y/N FEE CURRENT <br /> License # <br />YI N FEE CURRENT <br /> License # <br /> <br />Y/N <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />MECHANICAL I <br />SIGNATURE <br /> <br />Address I <br /> <br />OTHER I <br />SIGNATURE <br /> <br />I <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />COMPANY <br />REGISTERED <br /> <br />FEE CURRENT <br /> <br />License # I <br /> <br />I~ r-~~lliII- <br /> <br />Y/N <br /> <br />Y/N <br /> <br />COMMERCIAL <br /> <br />Address <br /> <br />--~ll1I!I___ ~ "llo-,IIIIIIII IIIi.HiII <br />RESIDENTIAI_ 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 onsite, 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 />~IDW!lllIllllHllll_ IU~- _..... .....~..... <br /> <br />~ <br /> <br />SIGN PERMIT <br /> <br />---- _.,~, <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 />'1IfI~1BR1 <br /> <br />1-""",,_- <br /> <br />~II~. <br /> <br />Fences (PlollSurveylFootage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />