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<br />813-780-D020 <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-D021 <br /> <br />~"7 <br /> <br />Owner's Name <br /> <br /> <br />Owner PhDne Number <br /> <br />Owner PhDne Number I <br /> <br />Owner PhDne Number I <br /> <br />Date Received <br /> <br />Fee Simple TItlehDlder Address I <br /> <br />4330 2oTI-J 51 ~~A7I-1ILLf"lrtoT# <br />PARCEL 10# I f3 <br /> <br />JOB ADDRESS <br /> <br />12Ef'JH Y~HIL.LS A./VT <br />I I <br />B <br />CJ <br />CJ <br /> <br />SUBDIVISION <br /> <br />PROPOSED USE <br />"TYPE OF CONSTRUCTION <br /> <br />ADDIAL T <br />REPAIR <br /> <br />COMM <br /> <br />FRAME <br /> <br />-26- Z/-cc7t.? - 07'-/00 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN 0 MOVE 0 <br /> <br />._ cLcC.'o>Q <br /> <br />WORK PROPOSED <br /> <br />B <br />o <br />o <br /> <br />NEW CONSTR <br />INSTALL <br /> <br />SFR <br /> <br />BLOCK <br /> <br />o <br />o <br />o <br /> <br />DEMOLISH <br /> <br />OTHER <br />STEEL <br /> <br />I <br />o <br /> <br />OTHER I <br /> <br />I <br />I <br />IEx/sTIP? 1A/l~6 vIOc,....$ <br /> <br />BUILDING SIZE <br /> <br />I~,,- <br /> <br />[jA/t?/i'Tlo~ 7/'-/ /!1,4-'.€'LS A-II~, t.--u~1< <br />I~H SQFQOTAGE /{.;,csO t lna~ HEIGHT I <br />A- <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />DESCRIPTION OF WORK <br /> <br />o <br /> <br />BUILDING <br /> <br />1$ ~~.J~ <br /> <br />ROOFING <br /> <br />I <br />I <br />I <br />I <br />CJ <br />I <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />o <br />12tc.L.& h- <br />i-'=: ~ <br />~ <br /> <br />o ELECTRICAL 1$ <br /> <br />o PLUMBING 1$ <br /> <br />o MECHANICAL 1$ <br /> <br />D GAS 0 <br /> <br />FINISHED FLOOR ELEVATIONS I <br /> <br />WRE.C. <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />SPECIALTY 0 <br />FLOOD ZONE AREA <br /> <br />OTHER <br /> <br />DYES <br /> <br />ONO <br /> <br />'1~.:;)'U BUILDER I ---=. '-~2 I I <br />/"U/v SIGNATURE ~6 ~ ) ;::.~~:e~ !jl~ FEE CURRENT Ui!:U <br /> <br />Addrese 1111 t<fVE::~S/Oc .-1//t=;.. )JK/<:~A1v/peJA.. 32.)02- License# IcG::::. L:D337S-1 <br /> <br />ELECTRICIAN II COMPANY I I <br />SIGNATURE . . REGISTERED l.....:!:.!...! FEE CURRENT Ui!:U <br /> <br />Address I License # .~ ~ c.-L/ ~::::> -'=>/ <br /> <br />PLUMBER I COMPANY I <br />SIGNATURE . REGISTERED l.....:!:.!...! FEE CURRENT Ui!:U <br /> <br />I License # I <br /> <br />I <br />I <br />I <br />I <br /> <br />Address <br /> <br />MECHANICAL I <br />SIGNATURE . <br /> <br />Addr... I <br /> <br />OTHER I <br />SIGNATURE <br /> <br />Addl'llllll I <br /> <br />COMPANY <br />REGISTERED <br /> <br />l.....:!:.!...! <br /> <br />FEE CURRENT <br /> <br />Ui!:U <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />l.....:!:.!...! <br /> <br />FEE CURRENT <br /> <br />Ui!:U <br /> <br />License # <br /> <br />RESIDENTIAL <br /> <br />Attach (2) PIDt Plans; (2) sets of Building Plans; (1) set of Energy Forms <br />Minimum ten (10) working days after submittal date. Required onsite, Construction Plans. Sanitary Facilities & 1 dumpster <br />Attach (3) sets of Building Plans; (1) set of Energy Forms. <br />Minimum ten (10) working days after submittal date. Required onsite, ConstructiDn Pians, Sanitary Facilities & 1 dumpster <br />All commercial requirements must meet compliance. <br />Attach (2) sets of Engineered Plans. <br />'-PROPERTY SURVEY required fDr all NEW construction. <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Directions: <br />Fill out application completely. <br />Owner & ContraCtDr sign back of applicatlDn. notarized <br />If over $2500, a Notice of Commencement Is required. (AlC upgredH over $5000) <br /> <br />Agent (for the contractDr) or Power of Attomey (for the owner) wDuld be someone with nDtarized letter fram Dwner authorizing same <br /> <br />OVER THE COUNTER PERMITTING (Front Df Application Only) <br />ReroDfs Sewers Service Upgrades AlC <br /> <br />Fences (PloUSurveyIFoDtage) <br /> <br />Driveweys-NDt over Counter if Dn publiC roadways..needs ROW <br />