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<br /> <br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department (.) . <br />y~~ <br /> <br />(AJE ~) <br /> <br />PARCELlD#1 \\-Zl.:,-2...l. C>6\O.-\3C{$ 66.0\\0 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE 0 <br /> <br />Date Received <br /> <br />. <br />Owner's Name $' -re <br /> <br />Owner's Address 1.3 g ~ ~,- ;;'P7H <br />Fee Simple Titleholder Namel 5' ~ M e <br /> <br />Fee Simple Titleholder Address <br /> <br />I <br />(, ~ A- t.X- t <br /> <br />JOB ADDRESS <br /> <br />,,~ <S +. <br />I <br /> <br />B <br />D <br />D <br />'/0 I 'f 5-tJ ' C.8, <br />I <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />~ NEW CONSTR <br />o INSTALL <br />o SFR <br />E:J BLOCK <br /> <br />I AJ e.v.; <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br />FRAME <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />7&;l... -56> 1- S- <br /> <br />5~30 <br />('A('"_\ <'Ic, \ \-+t) ~ <br />I LOT# I <br /> <br />DEMOLISH <br /> <br />o <br /> <br />o OTHER <br />o STEEL D <br /> <br />/J r f-tl 5/;1" <br /> <br />I HEIGHT I <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />sa FOOTAGE I <br /> <br />TIIIIIII'IIIIII,I"rllllllll'IIII'I,III,III,I'I'..'1111111"11'1'1'11"11'111'11'11111'111111111"11'11111'.111111111111'1'1111'11111"'1111"1111 <br /> <br />1$ 156/ DO c;/ I VALUATION OF TOTAL CONSTRUCTION <br />SS/d07 <br />D ELECTRICAL 1$1 AMP SERVICE. z. 0 () uzr PROGRESS ENERGY 0 W.R.E.C. <br />. .DK.-tor.('oceec\ u.:-I ",'_L- .rL .\.A, 11\. ~ft(.4 <br />\"" 0 61- ~ ,~. LMi j~.l\~", ),.d.~.)_ <br />D PLUMBING 1$ IQG~uc-\-\u--n l,J<i' Z~Se....\.{ ~c. - ~ . <br />. . f\..)oc_ - ~ <br />D MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION r:lm - %h(07 <br />fi.~ . \.-.-W'" QQ",.Q. <br />D GAS 0 ROOFING D SPECIALTY 0 OTHER AadQe56r~ C(~ -'iCfl\ '6f..~ <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO ~ <br /> <br />111I11111111111I11111111111I1111111111111111I11111111111111111111111111111111111111111111111111111111111111111111I111111111111111111I11I11111111I1 <br /> <br />Address License # <br />1111I1111111111111111111111I11111111111I11I1111111111111111111111111111111111111I11111111111111I11111111111111111111111111111111111111111111111111 <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 />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 />D <br /> <br />BUILDING <br /> <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />Address <br /> <br />MECHANICAL I -~ kL~ <br />SIGNATURE J ~ /"r1'YIM L? <br />Cl<. 6~6 (.,Jet -Ier <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br /> <br /> <br />OTHER <br />SIGNATUR <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />I <br />I <br /> <br />(?e n-,000& cA? 13 f 'Z. " I <br />I />..lJ.J1'Y'. ~ ~ <br />Po f.i~\e>~ <br /> <br />OTHER I <br /> <br />~I ~=-(~~F( <br /> <br /> <br />License # I <br /> <br /> <br />License # I C--fc.. 1'I;t 6 W..z <br />YL (b Po.....-!- <br />FEE CURRENT <br /> <br /> <br /> <br />License # I LAc f g / 3 57 'j <br /> <br />~~~~&.:l <br />I <br /> <br />,1....11111111111111111111111..111...1111...11111.111111.11....111.........11.11...11.....11...11.........11..1111...................1111.11..1111 <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. (Ale 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 AlC <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br /> <br />Fences (PlotlSurvey/Footage) <br />