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<br />813-780-0020
<br />
<br />Date Received
<br />
<br />
<br />City of Zephyrhills Permit Application 1-1:17 /']
<br />Building Department rr r {
<br />
<br />Fax-813-780-0021
<br />
<br />Owner's Name vJi.'\f\ { joh"l~Ov1
<br />Owner's Address I G 2./1 . (/, -i-t.-. .5 r
<br />Fee Simple Titleholder Namel
<br />
<br />
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<br />
<br />Fee Simple Titleholder Address I
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<br />
<br />JOB ADDRESS
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<br />{ ~ t-~ ..s t
<br />
<br />WORK PROPOSED
<br />
<br />B
<br />D
<br />D
<br />I
<br />
<br />NEW CONSTR
<br />INSTALL
<br />SFR
<br />BLOCK
<br />
<br />2ep,^)v~,\\s Fl 3>3i)LfL LOT #
<br />
<br />I PARCEL ID#I oL -2...lo - 2..1-Olg-O-ooC."'O-(){~O
<br />(OBTAINED FROM PROPERTY TAX NOTICE)
<br />c=J ADD/AL T D. SIGN D MOVE D
<br />D REPAIR
<br />D COMM D
<br />D FRAME D
<br />
<br />SUBDIVISION
<br />
<br />DEMOLISH
<br />
<br />PROPOSED USE
<br />TYPE OF CONSTRUCTION
<br />
<br />OTHER
<br />STEEL
<br />
<br />I
<br />D
<br />
<br />OTHER I
<br />
<br />DESCRIPTION OF WORK
<br />
<br />BUILDING SIZE I SQ FOOTAGE I 2--- ~ 52-HEIGHT I
<br />
<br />, . . I . . . . I I I I . . I I I I . . . I I . . . I . . . I . . . . . I I I . . . . . I I . . . . I . I . . . I I . . I . I . . I I , I . . . . I I . . . . . I I I I . . I I I . . . I I I I . . . II I I I I . . . . . . . . I . I I I I . . . . . . I I I . I I I I I I I I I I . . . I . I I
<br />
<br />1$ tj)~O, 00
<br />
<br />1$
<br />
<br />1$
<br />
<br />1$
<br />
<br />c=J GAS ~
<br />FINISHED FLOOR ELEVATIONS I
<br />
<br />c=J
<br />
<br />ROOFING
<br />
<br />I
<br />I
<br />I
<br />I
<br />D
<br />I
<br />
<br />AMP SERVICE
<br />
<br />D
<br />
<br />PROGRESS ENERGY
<br />
<br />D
<br />
<br />W,R.E.C
<br />
<br />BUILDING
<br />
<br />VALUATION OF TOTAL CONSTRUCTION
<br />
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<br />c=J
<br />
<br />ELECTRICAL
<br />
<br />PLUMBING
<br />
<br />MECHANICAL
<br />
<br />VALUATION OF MECHANICAL INSTALLATION
<br />
<br />SPECIALTY D
<br />
<br />FLOOD ZONE AREA
<br />
<br />OTHER
<br />
<br />DYES
<br />
<br />DNO
<br />
<br />I I I I . , . , , I I I , , I I I I . . I . I . . . . I . . I , , I I I , , , . . . I . I I , . . , , I I I . I I . I . . I I I . . . . . . . , . . . t I I I I r , I , , I I , , , I I I , , I I I I I I . . . I . , I I , ~ I . . . , , . I I . , . , , , . I , P r I . . . . . . . . . . . . . .
<br />
<br />BUILDER
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y/ N FEE CURRENT
<br /> License #
<br />Y/N FEE CURRENT
<br /> License #
<br />Y/N FEE CURRENT
<br /> License #
<br />Y/N FEE CURRENT
<br />
<br />Y/N
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y/N
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y/N
<br />
<br />Address
<br />
<br />MECHANICAL I
<br />SIGNATURE
<br />
<br />Address I
<br />
<br />OTHER ~. I
<br />SIGNATURE
<br />Address .1 P Ii 6 () ^ II rr ~ h t/ln ~ P / .7.3S-? ~
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y/N
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />License # I
<br />
<br />LS{o If @/ ",-d~e;, ~ ~ h ~/ Ii, ('
<br />I Y / N I FEE CURRENT I Y1 N I
<br />
<br />License # I Cc Co F 7 7 .5~ 7
<br />
<br />111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I1111111111111111111111111111111111111
<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 w/ Silt Fence installed,
<br />Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisionsllarge projects
<br />COMMERCIAL Attach (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 onsite, Construction Plans, Stormwater Plans w/ 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 />1II11111111111111111111111I11111111111111111111111111111111111111111111111111111111111111111111111111111111111I1111111111111111111111111111I11111I
<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 (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 NC Fences (Plot/Survey/Footage)
<br />
<br />Driveways-Not over Counter if on public roadways..needs ROW
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