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<br />813-780-0020 <br /> <br />Date Received <br /> <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br />Owner's Name - j) .k ...., LLC <br />Owner's Address I -; J-~ C u () S~ ~ h ud(.~S ~ <br /> <br />Fee Simple Titleholder Name I I <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />'_........_~, <br />JOB ADDRESS I (or- A., 1.1 <br />I <br /> <br />BJ &I'~ <br />I <br />E3 <br />o <br />o <br /> <br />S7 Pti,t.1tf--J0 I LOTti L <br />PARCELlD#13S''''U - ~J- (JbJt) - O~{}J...(J.)J{ <br /> <br />(OBTAINED FROM PROPERTY TAX NOtICE) <br /> <br />SUBDIVISION <br /> <br /> <br />WORK PROPOSED <br /> <br />SIGN <br /> <br />D <br /> <br />MOVE D <br /> <br />DEMOLISH <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />SQ FOOTAGE I <br /> <br />~ BUILDING 1$ <br />1$5 ELECTRICAL 1$ <br />0 PLUMBING 1$ <br />0 MECHANICAl 1$ <br />0 GAS D <br />FINISHED FLOOR ELEVATIONS I <br /> <br />&c3 60 w---,", <br />J()l> <br /> <br />VAlUATION OF TOTAL CONSTRUCTION <br /> <br />ROOFING <br /> <br />I <br />I <br />I <br />I <br />o <br />I <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />PROGRESS ENERGY <br /> <br />D WR.E.C, <br /> <br /> <br />~;~ <br /> <br />VALUATION OF MECHANICAl INSTAlLATION <br /> <br />SPECiAlTY D OTHER <br /> <br />FLOOD ZONE AREA DYES DNO <br /> <br />I ""'l <br /> <br />- <br /> <br />""'"I^! <br /> <br />T <br /> <br />BUILDER <br />SIGNATURE <br /> <br />COMPANY <br />REGISlEREO <br /> <br />Address <br /> <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />~ <br /> <br />Address <br /> <br />License # I <br /> <br />I~~ ~ l.. ?')'h}~'14-'ho:... ~ Yi...x..' <br />r I N _ FEE CURRENT ~ <br /> <br />310 '7 License # I <br /> <br />COMPANY I <br />REGISlERED Y I N FEE CURRENT ~ <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />Address <br /> <br />MECHANICAL I <br />SIGNATURE <br /> <br />License # <br /> <br />COMPANY <br />REGISlEREO <br /> <br />Address <br /> <br /> <br />Y I N FEE CURRENT <br /> <br />~ <br /> <br />Address <br /> <br />License # I <br /> <br />I S'j',.=jM JVl'bt~''''t_&~ t ~fU' V <br />I 'l/{'I N I FEE CURRENT ~ <br />7 License # 17' S -UV()u 3.il? <br /> <br />iJL(...{.ft <br />S,'~~ <br /> <br />OTHER <br />SIGNATURE <br /> <br />RESIDENTIAL <br /> <br />Allach (2) Plot Plans; (2) sets of Building Plans: (1) set of Energy Fonns; R-O-W Permit for new construction, <br />Minimum ten (10) working days after submittal date, Required onsite, Construction Plans, Stonnwater Plans wi Silt Fence installed, <br />Sanitary Facilities & 1 dumpster; Site Work Pennit for subdivisions/large projects <br />AIIach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms, R-O-W Permit for new construction, <br />Minimum ten (10) working days after submittal date, Required onsi1e, Construction Plans, Stonnwater Plans wi Slit Fence installed, <br />Salilary Facilities & 1 dumpster, Site Work Pennit for all new projects, All commercial requirements must meet compliance <br />AtIach (2) sets of Engineered Plans, <br />-PROPERTY SURVEY required for all NEW construction, <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Directions: <br />Fill out application completely, <br />Owner & Contractor sign back of application, notarized <br />If over $2500, a Notice of Comm.n~ io required. (AlC upgrades OYer $5000) <br /> <br />Agent (for the contractor) or Power of AItomey (for the owner) would be someone with notarized letter from owner authorizing same <br /> <br />OVER THE COUNTER PERMITnNG (Front of Application Only) <br />Reroofs Sewers Service Upgrades AlC Fences (PIotJSurveylFootege) <br />Driv_ay&-NoI over Coul1tar if on public roedways"needs ROW <br />