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<br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-OO21 <br /> <br />Date Received <br /> <br /> <br />Owner's Name 0 1'1 5'/,\ I' C <:. (; 0. tV c s.b :;- /. i '- C <br />Owner'sAddress fLtOL-\Ol.l C.h....""c..~y RJ.. 33S"L/4 <br />Fee Simple TiUeholder Name I I <br /> <br />Fee Simple TiUehoIder Address I <br /> <br />IL.{O'-l~ t <br /> <br />33. ~~~ <br /> <br />SUBDIVISION <br /> <br /> <br />Gh 0.. '" c:. c". Q.d.. . <br /> <br />. .fpn,,~ k.. ~ (> Ie;:''' Co,., l-"~;CELID#I '"8 -;lC, -.) .;l.-CXJ I 0 -() 8t.{ 00'- 00001 <br />;J c;...$ +- C {: p...s. c.CJ <!-o v.-+-y (OBTAINED FROM PROPERTY TAX NOTICE) <br />NEWCONSTR D ADD/AL T 0 SIGN D MOVE 0 <br />INSTALL D REPAIR <br />SFR 0 COMM <br />BLOCK 0 FRAME <br /> <br />C-hc...i.v L.,'.vk <br /> <br />I <br /> <br />LOT' <br /> <br />JOB ADDRESS <br /> <br />WORK PROPOSED <br /> <br />DEMOLISH <br /> <br />BUILDING SIZE <br /> <br />sa FOOTAGE I <br /> <br />~ OTHER I Fc::~c-c <br />o STEEL D OTHER I <br /> <br />r~tV c.- c.... (r "'5......... \, ) <br /> <br />I HEIGHT I <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTiON <br /> <br />II 17 t:. F <br />I <br /> <br />DESCRIPTiON OF WORK <br /> <br />c::r- <br /> <br />BUILDING <br /> <br />,00 <br /> <br />I <br />I <br />I <br />I <br />o <br />I <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />w.R.E.C. <br /> <br />o <br />o <br />o <br />D <br /> <br />1$ 506 <br />1$ <br />1$ <br />1$ <br />o <br /> <br />FINISHED FLOOR ELEVATIONS I <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />ELECTRICAL <br /> <br />PLUMBING <br /> <br />MECHANICAL <br /> <br />VALUATION OF MECHANICAl INSTALLATION <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY 0 <br />FLOOD ZONE AREA <br /> <br />OTHER <br />DYES <br /> <br />DNO <br /> <br />'111 <br /> <br />BUILDER ~. r:~.-----; <br />SIGNATURE(f' ,~ ---. -- ~ / <br /> <br />Address 1373 ~ /........,.(..0 G c. Zh., \\.s <br /> <br />ELECTRICIAN I <br />SIGNATURE . <br /> <br />Address 1 <br /> <br />PLUMBER I <br />SIGNATURE <br /> <br />I <br /> <br />I COMPANY <br />REGISTERED <br />-33 S-'f31 <br />I COMPANY <br />REGISTERED LY.!....!:U <br /> COMPANY <br /> REGISTERED LY.!....!:U <br /> COMPANY <br /> REGISTERED LY.!....!:U <br /> COMPANY <br /> REGISTERED LY.!....!:U <br /> <br /> <br />FEE CURRENT <br /> <br />1.5 Cc- '- '< II )"007 I I <br />I <br /> <br />I <br />I <br /> <br />I <br />I <br /> <br />I <br />I <br /> <br />I <br /> <br />~ <br /> <br />License , <br /> <br />License , <br /> <br />FEE CURRENT <br /> <br />~ <br /> <br />Address <br /> <br />MECHANICAL I <br />SIGNATURE . <br /> <br />Address I <br /> <br />OTHER I <br />SIGNATURE <br /> <br />Address I <br /> <br />License' <br /> <br />FEE CURRENT <br /> <br />~ <br /> <br />License , <br /> <br />FEE CURRENT <br /> <br />~ <br /> <br />License , <br /> <br />RESIDENTiAL <br /> <br />Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-Q-W Permit for new construction, <br />Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans wi Sin Fence installed, <br />Sanitary Facilities & 1 dumpster; Site 'Nor1<. Permit for subdivisionsllarge projects <br />Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-Q-W Permit for new construction. <br />Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans wi Sill Fence installed, <br />Sanitary Facilities & 1 dumpster. Site VIklrk 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 />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />D1ntCtions: <br />Fill out application completely. <br />Owner & Contractor sign back of application, notarized <br />If over $2500. a Notice of Commencement Is required. lAIC upgrades over $50001 <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 PERMIT11NG (Front of App~cation Only) <br />Reroofs Sewers Service Upgrades MC Fences (PlollSurvey/Footage) <br />Dr1vewa~ot over Counter if on public roadways..needs ROW <br />