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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Bu~ding Depertment <br /> <br />Flll<-813-7llO-OO21 <br /> <br />Date Rec:elved <br /> <br /> <br />Phone ConIac:t for <br /> <br /> <br />Owner'. N_ <br /> <br />WORK PROPOSED <br /> <br />'---- ~ <br />JOB ADDRESS I $ '{),;J 9 <br />~h7/1. 1/lS. I <br />E3 ~ <br />o <br /> <br />I <br />I <br />I <br />~e.J:: .D4.i'we I LOT' I 4f I <br />PARCEL 1011 /.2 -,2" - ;J/"A!:J30 -a>/~ -~ <br />C08T-_ -.nYTAX NOT'ICEI <br />D SIGN D MOVE D <br /> <br />o <br />D <br /> <br />Own..- Phone NumblII' <br />Own..- Phone NumlMr I <br />Own<< Phone NumblII' I <br /> <br />Owner'. A~ <br />F.. SImpItt 'T1tkIhoIdIIr N_I <br /> <br />SUBDIVISION <br /> <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br />FRAME <br /> <br />DEMOLISH <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />BUILDING SIZE <br /> <br />sa FOOTAGE I <br />_lftIflIlItJi(lIlrJftlMlltIlftll:IHllltftllftllll <br /> <br /> <br />OTHER I <br />STEEL D <br /> <br />OTHER I <br /> <br />I <br />I <br />I <br />I <br />o <br />I <br /> <br />HEIGHT I <br />_...__._IIIHHItIMlftlltllllflllDftlIftlIllllllIlfilfilUlMlIllllmllitIti1lfUll1tilllfiti1lIlfilllfiflllUIUUmnnlM <br /> <br />D BUILDING IS <br />D ELECTRICAL IS <br />~ PLUMBING 1$ ~~() <br />D MECHANICAL IS <br />D GAS 0 ROOFING <br />FINISHED FLOOR ELEVATIONS I <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />PROGRESS ENERGY <br /> <br />D W,RE.C. <br /> <br />VALUATION OF MECHANICAL INSTAllATION <br /> <br />SPECIAL TV 0 <br />FLOOD ZONE AREA <br /> <br />OTHER <br />DYES <br /> <br />DNO <br /> <br />- <br /> <br />LWLJ <br /> <br />FEE CUlRENT <br /> <br />W!U <br /> <br />COMPANY <br />REGISTERED <br /> <br />I <br />I <br />I <br />I <br />I~I- FEE~"'~ I <br />Licen8e # I t!. Fe.. (JS'7 Syg.. <br />I <br />I <br />I <br />I <br /> <br />BUILDER <br />SIGNATURE <br /> <br />Addrwa <br /> <br />eLECTRICIAN I <br />SIGNATURE <br /> <br />License # <br /> <br />COMPANY <br />REGlSTEIIBl <br /> <br />Lr..!..!L..J <br /> <br />FEE CURIlENT <br /> <br />PLUMBER <br />SIGNATURE <br /> <br /> <br />W!U <br /> <br />License # <br /> <br />A~ <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTeReD <br /> <br />LWLJ <br /> <br />FEE CURIlENT <br /> <br />W!U <br /> <br />Addren <br /> <br />Lic8Ne # <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />RI!GISTERED <br /> <br />LWLJ <br /> <br />FEE CUlRENT <br /> <br />W!U <br /> <br />Add..... <br /> <br />License # <br /> <br />RESlDENllAL All8ch (2) Plot Plans; (2) sets at Building PIamI; (1) set at Energy Farms; R-o-W Perm~ fI:lr MN construcIion, <br />Minimun ten (10) wotking days after submlllal dille, Required onalle, Construction PI8ns, StormW8ler PI8ns wi Silt Fence ineIalled, <br />Sanitary F8Cilities & 1 dl.mpeter; Site V\o\:lIk Perm~ fI:lr llUbdivisionsllsrge projecls <br />COMMERCIAL All8ch (3) complete sets at Building Plans plus . Life Safety Page; (1) set at Energy Forms, R-o-W Penn~ fI:lr MN construction, <br />Minimlnl ten (10) working days aft8r submiItaJ d81e, Required onsiIe, Construction Plans, Stormwater PIa1s wi Sift Fence inslBlled, <br />Sanitawy Faal~ie8 & 1 duTlpeler, Site V\o\:lIk Perm~ fI:lr all MN projects, All commen:ial requirements must meet compliance <br />SIGN PERMIT Attach (2) sets at EnginMnId Plans, <br />'"'"*PROPERTY SURVEY required for all NEW construction. <br />_Jl!IllkL _ <br />D1lWCl1ons: <br />Fin out applic8tion cornp/elely. <br />Owner & ConlracIor sign back at application, nobriZed <br />If 0Y8J' $2800, a NotIce 01 eonvr-cemsnt Is I'eqIlnd. lAIC lIpQI'lICIes ov... $SOOO) <br />- Agent (for the contractor) or Power at Attomey (for the _) would be someone wiIh notarized letter from owner aulhorizing same <br />OVER THE COUNTER PERMIT11NG (Front at Application Only) <br />Reroofs Sewers Service Upgrades A1C Fsnc;es (PIotISurwyIFooItIge) <br />on-ay.Not over Counter if on public roadweys..needa ROW <br />