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<br />_ 813-78,9-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br />Date Received <br /> <br /> <br />6Db <br />Co""We"It <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />il'J- S'lf6-1>17t <br /> <br />./ Owner's Name <br /> <br />/' Owner's Address <br /> <br />Fee Simple Titleholder Namel <br /> <br />Fee Simple Titleholder Address I <br /> <br />/JOB ADDRESS IW;,'C-~~~~~ 3~~~{~tll~~~ d~J~ ~~~~l~~R\C LOT # <br /> <br />I I 12.'1-2(,-2.1 vaN vulCO- 00"" I I <br />fJ ickJCh {t,'1IC/ PARCELlD# Z~ - Zc. -1../- 0010 - 00100 - 0010 /'2.!/-2.l.-1.'-0tXD-~- <br />(OBTAINED FROM PROPERTY TAX NOTICE) OOCO <br />c=J ADD/AL T D SIGN 0" MOVE D . ~MOLlSH <br />c=J REPAIR <br />CJ COMM D <br />CJ FRAME D <br /> <br />SUBDIVISION <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />B <br />D <br />[2J <br />l..s,'tr) <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />I <br />D <br /> <br />OTHER I <br /> <br />WORK PROPOSED <br /> <br />OTHER <br />STEEL <br /> <br />./ DESCRIPTION OF WORK <br /> <br />I <br /> <br />vAil <br /> <br />&t 1" eJ\J'((l.y <br />sa FOOTAGE I <br /> <br />of <br /> <br />!>cJR DIIII.~/O'" <br /> <br />I <br /> <br />HEIGHT I <br /> <br />/' BUILDING SIZE <br /> <br />o <br /> <br />BUILDING <br /> <br />$ <br />/ 35. f.l7Jfr' <br /> <br /> <br />D VALUATION OF TOTAL CONSTRUCTION <br /> <br />~ J:;;'J <br /> <br />V"ir <br /> <br />~~AMP SERVICE <br />~5R . 002-IL dJ <br />IU . ~\o1 <br />I <br />CJ <br />I <br /> <br /> <br />ANICAL INSTALLATION <br /> <br />CJ PROG~SS ENERGY D W.R.E.C. <br />LOr\If2AcrT .-L c . l/zoo ~~:(~ ftJ..~ <br />d~ 1'31< 0' penn,". 1_ <br /> <br />&~0~~ <br />~ ~1btOl>~.~ <br />D NO ~"'f . <br /> <br />OTHER <br /> <br />o ELECTRICAL 1$ <br /> <br />o PLUMBING 1$ <br /> <br />o MECHANICAL 1$ <br /> <br />o GAS D <br />FINISHED FLOOR ELEVATIONS I <br /> <br />BUILDER <br />/ SIGNATURE <br /> <br />/f/~ /! ~ <br />~ (). 80)( 1121 P;tJ~ /INf/,u r1. <br /> <br />COMPANY <br />REGISTERED <br /> <br /> <br />DYES <br /> <br />ROOFING <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />License # I C~ O:J.J2Z5' I <br /> <br />~~k~~:~(!~~~ ,~~I <br /> <br /> <br />License # I I <br /> <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />Y I N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />.1,#8Z <br />I <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br />Jt)ELECTRICIAN <br />~ SIGNATURE <br /> <br />Address <br /> <br />Address <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />YI N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br />111111111111111 <br />RESIDENTIAL <br /> <br />License # <br /> <br />COMMERCIAL <br /> <br />111I1111111111111111111111111111111I1111111111111111111111111111111111111111111111111111111111111I11111111111111111111111111111111 <br />Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction, <br />Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans wI Silt Fence installed, <br />Sanitary Facilities & 1 dumpster; Site Work Permit for subdivislonsllarge projects <br />Attach (3) sets of Building Plans; (1) set of Energy Forms. R-O-W Permit for new construction. <br />Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans wI Silt Fence installed, <br />Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance <br />Attach (2) sets of Engineered Plans. <br />....PROPERTY SURVEY required for all NEW construction, <br /> <br />SIG,N PERMIT <br /> <br />-.1....l...II.IIIIII..............II..........III......IIII...11..11111..........111...11.....11111111111..111111111...11111...11111111111111...111111111. <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 NC Fences (PloUSurvey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />