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<br />813-780-0020 <br /> <br />Date Received <br /> <br /> <br />City of Zephyrhills Permit Application <br />Building Departmenttf B 0 ~ ~ <br /> <br />Fax-813-780-0021 <br /> <br />Owner's Name Geneva <br />I 690 S Flora Pt <br />Owner's Address . <br /> <br />Fee Simple Titleholder Namel <br /> <br />Elearse <br />Inverness, FL <br /> <br />Fee Simple Titleholder Address <br /> <br />JOB ADDRESS <br /> <br />4734 16th st. <br /> <br />WORK PROPOSED <br /> <br />B <br />D <br />D <br />I Uoqrade service to 200amos. <br />SQ FOOTAGE I <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />Zeohyrhills. FL 33542 LOT # <br /> <br />I PARCELlD#h 4-26-21-001 0-02800-01 00 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />EJ ADD/AL T [i] SIGN D MOVE D <br />REPAIR <br />c=J COMM D <br />c=J 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 />HEIGHT I <br /> <br />BUILDING SIZE <br /> <br />I P . . I . . . . I . P I r . . . 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 . I , I , . . I . . p . . . . . . . . . . . I I I f II <br /> <br />0 BUILDING 1$ I VALUATION OF TOTAL CONSTRUCTION <br />CXJ ELECTRICAL 1$ 1 . 675 . 00 I AMP SERVICE 2 0 0 GLJ PROGRESS ENERGY D W.R.E.C <br />0 PLUMBING 1$ I <br />D MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION <br />D GAS D ROOFING c=J SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />"....""..11"'.......1'11...'.',........,111..11..'.nll....llf'...."'I'...."'....I....".....,."'...,.11........'..,II..."'II'..'III.....PI <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 />License # <br /> <br />ELECTRICIAN' ._.A/ , C' . <br />SIGNA TURE ~--v-.... \,~ <br /> <br /> <br />~ <br /> <br /> <br /> <br />Address PO Box 862 <br /> <br /> License # <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 />/ 14491 <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />Ze h rhills FL <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Address <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />OTHER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />Address <br /> <br />1111I11I1111111 11111111111111I1111111111111111I111111I1111111111111111III1111111I1111111111111111111111111111II11111I111111II1I111I11111111111111 <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 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 (1 0) 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 />11111111111111111111I11111111I11111111111111I1111111I111I111111II11111111111111111111I1111111I111111111II1II11111111111111111111111111111111111111 <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 (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />