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<br />!l13-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br /> <br />Fax-813-780-0021 <br /> <br />f1gef <br /> <br /> <br />Date Received <br />1111111111 <br />Owner's Name IV C - - L LL <br />Owner's Address lfoqq I ~. Co.rr1(Jj ba (t ed <::; te~ g- 3101 <br />Fee Simple Titleholder Namel I <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />I <br />I <br />I /4~ I <br />I <br /> <br />Fee Simple Titleholder Address I <br /> <br />I 3~/() I.-a.C os.fe S+veef <br /> <br />I (1(1. if 5 he- 00 ks I PARCELlD#1 24 - 2(p -21 -0030 - ()oo(')() - / '160 <br />J (OST AI NED FROM PROPERTY TAX NOTICE) <br />D/ NEW CONSTR c=J ADD/ALT D SIGN D MOVE D <br />W INSTALL c=J REPAIR <br />PROPOSED USE D SFR D COMM Q <br />TYPE OF CONSTRUCTION D BLOCK D FRAME D <br /> <br />DESCRIPTION OF WORK I ?o.fF- VV10~ \ c:;ef -(A:P <br /> <br />BUILDING SIZE 1/2 X LI Z, ISQ FOOTAGE I Lj 99 <br /> <br />..II..llflllllll...II..III...,...III....IIIII"""'11,..1............111...111111.......1111.....,11.............,11....1111111111.111111.11111.. <br /> <br />1$ ([300. CO <br /> <br />1$ GOD .00 <br /> <br />1$ 2SD.ou <br /> <br />1$ (bOO, 150 <br />D GAS D <br />FINISHED FLOOR ELEVATIONS I <br /> <br />JOB ADDRESS <br /> <br />LOT # <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />c;zJ <br />cJ <br />d <br />czj <br /> <br />BUILDING <br /> <br />I <br />I <br />I <br />I <br />D <br />I <br /> <br />SPECIALTY D <br />FLOOD ZONE AREA <br /> <br />DEMOLISH <br /> <br />OTHER I Y\I)(') b Ie pCu k rY\ad.e l <br />STEEL ~ OTHER I <br /> <br />HEIGHT I <br /> <br />ELECTRICAL <br /> <br />AMP SERVICE n () <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />W.R.E.C. <br /> <br />PLUMBING <br /> <br />MECHANICAL <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />ROOFING <br /> <br />D <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />OTHER <br /> <br />~ov <br /> <br />DYES <br /> <br />~ <br /> <br />'..11....'11.""11.1111.,.....1'.11"'1111....1'........,.1111,"""1'......,....,..,.,.....'..'1'1111".',.......'1"1..'1.11'...'....'.'1.1111 <br /> <br />BUILDER <br />SIGNATURE <br /> <br /> <br />Address <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />Address <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />Address <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />Address <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br />I~L~~~1e~~c!1~ Of/N I <br /> <br />License # I L J-/ (; 0000 lfO <br /> <br />I (' van dtL1l t lee -f,r I L-- <br />I Y I N I FEE CURRENT I Y I N I <br /> <br />License # IC'R 00/29/0 <br /> <br />1~~~{~c~~1S I (?)/N I <br /> <br />License # I T f/o(xJOO ~ 0 <br /> <br />I ly{Ahr5 <br />~/N I <br /> <br />FEE CURRENT lay I N I <br />License # leA co 43 9 t.!l( <br /> <br />Y/N <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />License # <br /> <br />11I11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <br />RESIDENTIAL 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 subdivisionsllarge projects <br />COMMERCIAL 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 onslte, Construction Plans, Storm water Plans wI Silt Fence installed, <br />Sanitary Facilities & 1 dumpster. Site Work Permit 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 />111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111II rr II I111I11111111111111I11 f I11111111 <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 (lor 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 (PloVSurvey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />