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<br />813-78lJ.OO2O <br /> <br />City of Zephyrhills Permit Application <br />IluiIcling Department <br /> <br />Fax~13-78ll-0021 <br /> <br />Date Received <br />III <br /> <br />Owner"s N_ <br /> <br /> <br />I <br />I <br />I <br />I LOTI I I <br />PARCELID#I Od.-d~- QJ/ 0010 -O';;:>;'/O\)~Op/O <br />(OBTAINED FROM PROPERTY TAX NOTlCEI <br />D SIGN D MOVE D <br /> <br />D OTHER <br />D STEEL D <br /> <br />""""'"""''''_ U;$-I=e NeW RIL~ Spre;(\~/e.r <br />BUILDING SIZE sa FOOTAGE I (., "l '; \ I HEIGHT. <br />Jl:tfl1mflmmtftlm~mlm!lmfIOOImmmmmmmtmmmml1~~mm~ntmlI[II[I(IRl[III(UlllltllmlmmllltllmRI[[llmrmmmlttttlffmmfIlttmtmtImmmtmlOOlIflmmtl~m <br /> <br />Owner's Address <br />Fee Simple ntIehoIdor _I <br /> <br />Fee Simple ~ Address 'I <br />I (og~y G'Al..([ <br /> <br />I <br /> <br />0wMr Phone N..- <br />0wMr Phone Numbor I <br />0wMr Phone _I <br /> <br />("0 (J <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUC11ON <br /> <br />E3 <br />D <br />D <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br /> <br />BLOCK <br /> <br />({.)v / <br />I <br />E3 <br />CJ <br />CJ <br /> <br />AOOIAL T <br />REPAIR <br />COMM <br />FRAME <br /> <br />DEMOLISH <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />OTHER I <br /> <br />S'[Sf-' <br /> <br />D BUILDING 1$ I VAlUATION OF TOTAl CONSTRUCTION Ie,. boO <br />D ELECTRICAL 1$ I AMP SERVICE CJ PROGRESS ~ERGY D WR.E.C. <br />D PLUMBING 1$ I <br />D MECHANICAl 1$ I VAlUATION OF MECHANiCAl INSTAlLATION <br />D GAS D ROOFING CJ SPECIAlTY D OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br />HII___II[III[ [ [II IllIlI!lflllll'lIl111 [11I11 [ 1 r 1[[ 1 III [ 1lI 1n r r 1IIIllIIIIII1II1I1IIHII1 <br />BUILDER COMPANY <br />SIGNATURE REGISTERED LY.L.!:U FEE CURRENT UL!!..J <br /> Address Lm- II <br />ELECTRICIAN COMPANY <br />SIGNATURE REGISTERED LY.L.!:U FEE CURRENT I Y/N I <br /> Address Lm- II <br />PLUMBER COMPANY <br />SIGNATURE REG~eRED LY.L.!:U FEE CURRENT I Y/N I <br /> Address Lm- II <br />MECHANICAL COMPANY <br />SIGNATURE REGISTERED LY.L.!:U FEE CURRENT UL!!..J <br /> <br />Lm- II I I <br />=~~ ~~;;;~!~~O\J04:-4r <br /> <br /> <br />Lm-II 10/01'7 d J OO() /71 I <br /> <br />IOOmftItIflftftmmmmmmm__amoomm~mnlInftflimlltmnmm_Hmnmmlflfmtt tt mmI~mm <br />RESlDENllAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Penn~ for new construction, <br />Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans wi Si~ Fence installed, <br />Sanilery Facilities & 1 du'I1pster; Site Work Penn~ for subdivisionsIII prqects <br />Attach (3) complete sals cA IluiIding Plans plus a Life Safety Page; (1) set of Energy Fonns. R-O-W Penn~ for new construc:tlon. <br />Minimum ten (10) working days after submiltal date. RequWed onsita, Conslruclion Plans, StormwaIIlr Plans wi SiR Fence installed, <br />Sanilery Facil~ies & 1 du'I1psl8r. Site Work Penn~ for all new prqects. All commercial """irements must meet compliance <br />Attach (2) sets of EnginMred Plans. <br />...."ROPERTY SURVEY """ired for all NEW construc:tlon. <br /> <br />_1lIIl1!l[1llIIIlIlIIlIII1lIIl1ll1lllllll1llll1lllllllllllRll____IIIlIlIIlIIlRlIII1IIHIIIIIIIIIIlI_IlIIIII_IlIIl__1 <br />Directions: <br />Fill out application completely. <br />Owner & Contractor sign back of application, noIarizacI <br />If over $2500, . Notice of c-t Is requinId. lAIC upgradas over $1000) <br /> <br />Agent (for the contractor) or Power of AIlomey (for the owner) would be someone wilh noIarizacIleltar fran owner authorizing same <br /> <br />OVER lllE COUNTER PERMIT11NG (Front of Application Only) <br />Reroofs Sewers Service Upgrades AlC <br />DrIveways-No1 over Counter if on public roadways....-ls ROW <br /> <br />Address I <br />~N~~RE ~~ <br />Address I <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Fences (PlolISurveylFooIage) <br />