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<br />813-780-0020
<br />
<br />City of Zephyrhills Permit Application
<br />Building Department
<br />
<br />Fax-813-780-0021
<br />
<br />Date Received
<br />
<br />
<br />
<br />Owner's Name Ben' amin Ritchie
<br />
<br />Owner'sAddress /572 11th Ave. S Naples, FL
<br />
<br />
<br />Fee Simple Titleholder Namel
<br />
<br />Fee Simple Titleholder Address
<br />
<br />JOB ADDRESS
<br />
<br />17n4n
<br />
<br />N,:>w
<br />
<br />Hnrioznn
<br />
<br />'RluCl
<br />
<br />~ephyrhilla. FL 33542 LOT#
<br />
<br />PARCELlD#1 34-25-21-0090-00000-0580
<br />(OBTAINED FROM PROPERTY TAX NOTICE)
<br />SIGN 0 MOVE D
<br />
<br />I
<br />
<br />
<br />WORK PROPOSED D NEW CONSTR E3 ADD/ALT
<br />X D INSTALL REPAIR
<br />
<br />PROPOSED USE D SFR D COMM
<br />
<br />TYPE OF CONSTRUCTION D BLOCK D FRAME
<br />
<br />
<br />DESCRIPTION OF WORK I Repair / replace meter lug.
<br />
<br />BUILDING SIZE I, I SQ FOOTAGE I I HEIGHT I . I
<br />
<br />' , .. . , . .. , . . I' , . , . . , . . . . , .. , , , .. , . . , . . . . , . . .. . , . . . . . . . . , , . . . , , . . .. .. . , . .. . . . . . . .. . . . , . , . . . . , ' . , . . .. , : . . . . . . , . . . . .. .. . . . . , . . . . .. . . . . . . . . . . . . , . . . III
<br />
<br />o BUILDING 1$ I VALUATION OF TOTAL CONSTRUCTION
<br />
<br />1$/
<br />. 250.00 .
<br />
<br />1$ I
<br />1$ I
<br />
<br />D GAS 0 ROOFING D
<br />FINISHED FLOOR ELEVATIONS I I
<br />
<br />SUBDIVISION
<br />
<br />CiJ
<br />o
<br />D
<br />
<br />DEMOLISH
<br />
<br />OTHER
<br />STEEL
<br />
<br />I
<br />o
<br />
<br />OTHER I
<br />
<br />[X]
<br />D
<br />D
<br />
<br />ELECTRICAL
<br />
<br />AMP SERVICE
<br />
<br />liiJ
<br />
<br />PROGRESS ENERGY
<br />
<br />o
<br />
<br />WR.E.C.
<br />
<br />PLUMBING
<br />
<br />200
<br />
<br />SPECIALTY D
<br />FLOOD ZONE AREA
<br />
<br />OTHER
<br />
<br />
<br />9 1& I, )
<br />~
<br />
<br />
<br />._-----/"
<br />
<br />MECHANICAL
<br />
<br />VALUATION OF MECHANICAL INSTALLATIO
<br />
<br />DYES
<br />
<br />. I I . . I , , , . , I I . . , I I I , I . . I I . . , f" , , 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 . . r , , , . I I r . , . , I I , t r I I , I I I I I I I , , I I ~ ,
<br />
<br />BUILDER
<br />SIGNATURE
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y/N
<br />
<br />FEE CURRENT
<br />
<br />Y/N
<br />
<br />Address
<br />
<br />ELECTRICIAN I
<br />SIGNATURE ,
<br />
<br />Address I PO Box 862
<br />
<br />PLUMBER I
<br />SIGNATURE
<br />
<br />Address I
<br />
<br />MECHANICAL I
<br />SIGNATURE ,
<br />
<br />Address I
<br />
<br />OTHER I
<br />SIGNATURE
<br />
<br />Address I
<br />11111I11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111
<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 />S~nitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large 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 />1II1111III11111III111111I1111II11111111111I11111111I1111111111I11111II111111II111111111111111111III111111111IIIIIIIIIIIIIIIIIIIIIIII!IIIIIIIIIIII!
<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 AlC Fences (PloUSurvey/Footage)
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />License #
<br />
<br />IReese Electrical. I~
<br />I (!) N I FEE CURRENT N
<br />
<br />License # 11 4 4 9
<br />
<br />Zephyrhills, FL 33539
<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 />
<br />Y/N
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y/N
<br />
<br />COMPANY
<br />REGISTERED
<br />
<br />Y/N
<br />
<br />Driveways-Not over Counter if on public roadways..needs ROW
<br />
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