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8.13-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 r.-.a.. rn . orl- \11..e.. 54eJ-tf1}l y...)\ I-W'^"'t -'<62..~n55 Date Received '- ;1'.....0 ~. Owner's Name N A Me --:B A r:u0 f-~.J .. Owner's Address 10 0 V 1 C- f!..E:j-r (, {'v' .5 J Fee Simple Titleholder Namel NA!\JD'jl3llk'iI,)[S Fee Simple Titleholder Address 1[;[1(/1 6M'57( h.! I ~ocq I-:PUv'E.0RCS-r fh Ii P c- ~7 I I I LOT# 12,5- I PARCELlD#1 o~ do (p ~ 1 () ~I 0 0 () boD 0'8561 (OBTAINED FROM PROPERTY TAX NOTICE) MOVE 0 Owner Phone Number Owner Phone Number I Owner Phone Number I . JOB ADDRESS L-R..c:.57 [I'v S ( SUBDIVISION I NEW CONSTR c=::J INSTALL [S,Z] SJ/IJ'/"& SFR P'4~}...'i ~ D BLOCK~t:..SIl>> D ADD/AL T REPAIR COMM OTHER STEEL I D t~ rO-l q' E3 PROPOSED USE [i2j TYPE OF CONSTRUCTION 0 ~~NOFWIORK ,I R.6P~(I-t: BUILDING SIZE --T 0 X J ~ FRAME o o o Cf1/~Ptf::i RDCP SIGN D DEMOLISH WORK PROPOSED -4 g-() HEIGHT NE-~\./ (~ I (j I EXiSl/A!6 SQ FOOTAGE I I , I , , I I I I I I , . , I I I I I I I I I I , I I I I I I I I . I I I I I 1 I , , I , , , I I I I I I I I I I I I I I I I , I I I I I I , I I I ~ I I I I I I I I , , I I I I I , I I I I I I I I I I I I I I I I I I , I I I I I I , . I I I I , , I . I I I I I PI' , I . I I I , . I I I I D BUILDIN7:-j ~~o.~v. I VALUATION OF TOTAL CONSTRUCTION (I<OD -- D ELECTRICAL 1$ I AMP SERVICE D PROGRESS ENERGY D W.R.E.C, - D PLUMBING 1$ I J\ , ~. _ f ( ", \-:'''.11\.''H -..,. . I; ~ D MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION D GAS [0 ROOFING D SPECIALTY 0 OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES 0NO ----- "''0 BUILDER SIGNATURE <coot} W~ ~, ^fA 't-\:, '0 -\~: .tJ '-'--~";'~ I Y / N I FEE CURRENT License # I .vA Y/ N FEE CURRENT License # ~L\ Y/N FEE CURRENT License # rJ61 Y / N FEE CURRENT License # "JA Y/ N FEE CURRENT Y/N Address ELECTRICIAN SIGNATURE COMPANY REGISTERED Y/N Address PLUMBER SIGNATURE rJ/A COMPANY REGISTERED Y/N Address MECHANICAL SIGNATURE f\J/A COMPANY REGISTERED Y/N Address "fA OTHER SIGNATURE COMPANY REGISTERED Y/N Address 111111111111111 RESIDENTIAL License # II11111111I1111111111111111111111111I11I11111111111111I1111II1I111111111I111111111111111111II111111I1I11111II11111I11II11111111111 Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-Q-W Permit for new construction, Minimum ten (10) working days after submittal date. Required on site, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects Attach (3) sets of Building Plans; (1) set of Energy Forms. R-O-W Permit for new construction. Minimum ten (10) working days after submittal date. Required onsite. Construction Plans. Stormwater Plans wI Slit Fence installed, Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects, All commercial requirements must meet compliance Attach (2) sets of Engineered Plans. ....PROPERTY SURVEY required for all NEW construction. COMMERCIAL SIGN PERMIT DI~~~ti~~~': I I I I I I I I I I I I I I I . I I I I I I I I I I I I I . I I I . . I . I I . . . . . I I . I . . . . . . . I I . . . I . I I I . . I I I I . . I I I . I . . I I . I I I . . . I I . I I I . . I I . . . . . . . I I I I I . . . . . . . . . . . . . I I . I . . . I I I I Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement is required. (AlC upgrades over $5000) Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs Sewers Service Upgrades NC Fences (Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW