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<br />Owner's Address <br /> <br />Fee Simple Titleholder Namel <br /> <br />I ''( <br />City of Zephyrhills Permit Application 11.0 ~ Fax-813-780-o021 <br />BUilding Department <br /> <br />,,-,-,..,,~.."' ~l~lU,(e.~~r'<-- <br />~ 'I t-er LP Owner Phone NU:::C <br /> <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />813-780-0020 <br /> <br />Date Received <br /> <br /> <br />ili'ittrt1!trtmm:4ttlmmm; <br /> <br />Owmir's Name <br /> <br />JOB ADDRESS <br /> <br />Fee Simple Titleholder Address I <br /> <br />137 '8~lf <br />I <br /> <br />MuJ;c.A ( <br /> <br />14~f-~ cT <br /> <br />I PARCELlD.134 -.;10- d (-OCOO - C030 -CC7::l <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br /> <br />B <br />D <br />D <br /> <br />LOT' <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br /> <br />NEW CONSTR <br />INSTALL <br /> <br />SFR <br /> <br />BLOCK <br /> <br />AD DIAL T <br />REPAIR <br /> <br />SIGN ~ MOVE 0 <br /> <br />OTHER ~ p; fct.f <br />STEEL D OTHER I <br /> <br />DEMOLISH <br /> <br />PROPOSED USE <br /> <br />TYPE OF CONSTRUCTION <br /> <br />COMM <br /> <br />FRAME <br /> <br />DESCRIPTION OF WORK <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />WRE.C, <br /> <br />fJI} 0 <br />~ <br />'3 <br />p <br />~ <br />~ <br />$" <br />"'f' <br />,,- <br />~ <br /> <br />.:s <br />...., <br /> <br />BUILDING SIZE <br /> <br />;lrrfh:/;;t:-;I;~i~:f:4;:t~;I;:!:ll::I:.lrttrji;lrrt:ttr.trtf:l;:ljtfmm1tt:tt;tItlmrtl;tt~~r:'~I:I:tl;tl:t:;tl;tt;tl~I:tl~*;tI~1~ftrjm)n;f;tm;ft*:fltt:f::*f~:t;slm;:j:f::tf:"4;l.j::1;:t::tt~;:t:tt:tt:tf:4:tt:I:fIr:l:ti;N:fI;tl:m:J:t'l1~tlm;j:j;;j~I~ilmm~tlij:f;t!rt#!:ttil,l:l:n;tl:t::j:I1:tl:11,tl:j:l:t1:tlh:1l;tl:ft:t;!.: <br /> <br />~ 'CWNG :: dfI 00, fB-- I <br /> <br />L-.J ELECTRICAL . I <br /> <br />D PLUMBING 1$ [ _ ~ <br /> <br />D MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION ~ <br /> <br />D GAS 0 ROOFING D SPECIALTY 0 OTHER .tf():;.t:. <br /> <br />:1~;:::'::"~~:::I"~J~::::::::nlll~~~"'~"JU 1I~~ lI~~~~lI~~~~~~I~~lI~~::~::::~:::mmtllmmtt~,::m~mtll~::~'lIm~:J!t::!1.1I~1I <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />v- <br />- <br />C" <br />..) <br /> <br />I <br /> <br />I <br />I <br /> <br />I <br />I <br /> <br />I <br />I <br /> <br />~~# I I r, <br />OTHER tyi......"cm.ol~ 6c.c.tric. 5';;.;"" ~C I ~~-ec\ <br /> <br />SIGNATURE AJiLk.- REGISTERED I Y/~l FEE CURRENT ~ SI?tL.'aJ+;> <br /> <br />Address ;:0 eN tr CploU"+ .#= IS-O License # 10 fZ.oo 0 2-1 "3 I <br /> <br />;.iI,*",",m'hlfil@I"'ilI.liIij;fj;fj'l;fjill#;!olt;fj,jJ;fj;fj!llilllli#!#!jjill#,miliiffilliff_!liifl!#!jj!llill'illillillilIill!llilllill!l;l'lt.lJ,iMl#<Ilil_ilIRI#Im#ll___ii1ilh#;!f,ff,ji!j;;ji!lilliil_illillillill,#!llqillillilHllil!illillllilliltH'il" <br />RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Pennit 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 Permit for subdivislDnsAarge projects <br />Attach (3) complete sets of Building Plans plus a Life Safely Page; (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, Stoonwater Plans wi Siit 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 />,l!ilillillititHcliltHAdJ'iliifillrlliiitl'tlCl'lIillilltl!!Iit1'1lli1'!I!!!'fllltllillillillill!tl'litl'l!!lf'ilillilliflllifEt1it1fflillftl'tIliffftlili't1illftlt!'lliftJillilililf'ili!lli!itI'lJilIlil'ililltllOl'llffijilltllill'ltOl'llillllill'ltftl'ltillftlfltill'tlillftlill'liI'jjtlltllill'ltflJffilltlllltll1JW!1;tl:tifi'!,: <br />Directions: <br />Fill out application completeiy, <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 (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 Appilcation Only) <br />Reroofs Sewers Service Upgrades AlC <br />Driveways-Not over Counter if on public roadways..needs ROW <br /> <br />Address <br /> <br /> <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Fences (PloVSurvey/Footage) <br />