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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 />
<br />,'t,
<br />
<br />
<br />Owner's Name t. N.
<br />OWner's Address I '00 AI. tdEsrS#otZE:1~ I/O rtI ~tJD ~"f"'"
<br />Fee Slmp,'e Titleholder Namel
<br />
<br />JOB ADDRESS
<br />
<br />Fee Simple Titleholder Address I 5LD& 20
<br />&335 #1i1./J/E
<br />I tll.l9NO //f1Lk..
<br />
<br />" \ ',- \ '
<br />
<br />~
<br />PROPOSED USE D
<br />TYPE OF CONSTRUCTION IKI
<br />
<br />DESCRIPTION OF WORK I ,A/~w CoNs-r/C.Vc..n DN - 'OWN lIo#7ES
<br />
<br />BUILDING SIZE sa FOOTAGE I . 137\ I HEIGHT IlLS ro It... y I
<br />
<br />o IIIII~~I~~;~~ 11111'" 'i~ III;;~ I ~I;~ 1111111" i III' I ~~~~~~;~~I~~ ~~~~~ ~~~~~~~~~I~~"" 11111111' 11'111111' 'III" 1111'" '1'111
<br />
<br />o ELECTRICAL 1$ .J '-I t./ 0 I AMP SERVICE ~ PROGRESS ENERGY D W.R.E.C.
<br />
<br />o PLUMBING 1$ '13.:(5 I
<br />
<br />o MECHANICAL 1$ ~;l.~S- I
<br />
<br />o GAS D ROOFING D
<br />FINISHED FLOOR ELEVATIONS
<br />
<br />NEWCONSTR
<br />INSTALL
<br />SFR
<br />BLOCK
<br />
<br />I
<br />E3
<br />D
<br />D
<br />
<br />RtJ/;l:> I Z#;1#Y~JlIt.U,. ,c(.."3~1Io I LOT# 1/92..
<br />
<br />PARCELID#lo3- :u-~/ -t)';30 - 00000 -/9,:/0
<br />(OBTAINED FROM PROPERTY TAX NOTICE)
<br />SIGN D MOVE D
<br />
<br />SUBDIVISION
<br />
<br />WORK PROPOSED
<br />
<br />AD DIAL T
<br />REPAIR
<br />COMM
<br />FRAME
<br />
<br />D
<br />D
<br />D
<br />
<br />DEMOLISH
<br />
<br />OTHER I
<br />STEEL D
<br />
<br />OTHER I
<br />
<br />VALUATION OF MECHANICAL INSTALLATION
<br />
<br />MECHANICAL
<br />SIGNATURE
<br />
<br />
<br />qo./S
<br />
<br />SPECIALTY D
<br />FLOOD ZONE AREA
<br />
<br />OTHER
<br />
<br />DYES
<br />
<br />DNO
<br />
<br />
<br />BUILDER
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />LEA/A.! /lit!. lIoME~
<br />I {Y.J N I FEE CURRENT I CD N I
<br />
<br />License # I Cae 1~5"S7S I
<br />
<br />Address
<br />
<br />ELECTRICIAN
<br />SIGNATURE
<br />
<br />..I B c. eL ECrre/ C-
<br />I (J;'P N FEE CURRENT
<br />
<br />Address
<br />
<br />License #
<br />
<br />I~IN I
<br />It:'C/300IBS"
<br />
<br />
<br />PLUMBER
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />
<br />J'UllGMIIN ril/nr 8/1fI?
<br />FEE CURRENT Y N
<br />
<br />License # I C~C 0'1/'72 I
<br />
<br />Address.
<br />
<br />Address
<br />
<br />
<br />. OTHER
<br />SIGNATURE
<br />
<br />Address i./2./1 S'I/, 'F8~t1~ S'I*-IN~ lit" ~ 3I/H),,/ License # cC-C O'S?99/
<br />
<br />II" " 1111111111111111111 1 " 1111111111111111111111111 " I111111II11II1I1I1 " III 1111 1111111IIII11111111111I1111 i 1 " 11I1111I11111I111111III111111II11
<br />RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fonns; R-O-W Penn It for new construction,
<br />Minimum ten (10) working days after submittal date, Required onslte, Construction Plans, Stonnwater Plans w/ Slit Fence Installed,
<br />Sanitary Facilities & 1 dumpster; Site Work Pennlt for subdlvlslonsllarge projects
<br />COMMERCIAL. Attach (3) sets of Building Plans; (1) set of Energy Fonns, R-O-W Pennlt for new construction,
<br />Minimum ten (10)'worklng days after submittal date. Required onsite, Construction Plans,Stonnwater Plans w/ Slit Fence Installed,
<br />Sanitary Facilities & 1 dumpster. Site Work Penn It for all new projects, All commercial requirements must meet compliance
<br />SIGN PERMIT Attach (2) sets of Engineered Plans.
<br />....PROPERTY SURVEY required for all NEW construction.
<br />
<br />11.....11...11111..111........111111.11.11.....1111...111111111111.................1111....111.....111.......11..........111.11,....111.11.1111111
<br />Directions: .
<br />Fill out application completely.
<br />Owner & Contractor sign back of application, notartzed
<br />If over $2500. a Notice of Commencement Is required. (AlC upgrades over $5000)
<br />.. Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notartzed letter from owner authortzlng same
<br />
<br />OVER THE COUNTER PERMITTING (Front of Application Only)
<br />Reroofs Sew.w~........,.., ~erylce Upgrades AlC
<br />~,..,..~ ",of""""_';"~,~"""~,~:.,, ~"l"lrrI'~.loiio
<br />
<br />Driveways-Not o...~P:@AU{~;'lf of{PlJbilc'rbiii~a*~~:~~~SROW
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<br />
<br />Fences (Plot/Survey/Footage)
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