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<br />813-7~ <br /> <br />City of Zephyrhills Permit Application <br />Building Department <br /> <br />Fax-813-780-0021 <br /> <br />Date Received <br /> <br /> <br /> <br />-t:# 8 Vel) <br /> <br />MC.-~ <br />Owner'sAddrwu 13730 I C-,hop~vtJ~<L ~ <br />Fee Simple TItleh0Ider Namel C' rr'Lz (JF ~"\VJL h M~ <br />Fee Simple 11tIeholder Addrwu L5355 81t- 57 &.q> 11 V/t.-h-, ~ . t:t. 3 36112- <br />13~Ol CL1~~/J.d. LtJo(? ~"I1~,U5 ,iL ~3'5lIz.1 Lon I <br />I I PARCELIDtllo3 -'2(,"'2-1 '0010,.. tOt.oo -0010 <br />fOBTMED _ PROPERTY TAll NOTICE) <br />~ NEWCONSTR E3 ADD/ALT 0 SIGN 0 MOVE 0 <br />INSTAlL REPAIR <br />PROPOSI!O USE SFR D COMM 0 OTHER <br />TYPE OF CONS1RUC11ON 0 BLOCK D FRAME 0 STEEL D OTHER I <br /> <br />DESCRlP'TlONOFWORK ~Ullo D/tJIO,#l(,- w."- &5>r7w~ rt.IblJ~ 01- ~ IYl <br /> <br />I sa FOOTAGE I I HEIGHT I I <br /> <br />Owner's Name <br /> <br />Owner Phone Number <br /> <br />Owner Phone NIIIIIber I <br />Owner Phone Number I <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />DEMOLISH <br /> <br />o <br /> <br />BUILDING SIZE <br /> <br />1$ 3,375~ I <br /> <br />o ELECTRICAl 1$ I <br /> <br />o PLUMBING 1$ I <br /> <br />o MECHANiCAl 1$ I <br /> <br /> <br />o GAS 0 ROOFING D <br />FINISHED FLOOR ELEVATIONS I I <br /> <br />BUILDING <br /> <br />VAlUATION OF TOTAl CONSTRUCTION <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />o <br /> <br />WREC, <br /> <br />VAlUATION OF MECHANICAl INSTAlLATION <br /> <br />SPECIAlTY 0 <br />FLOOD ZONE AREA <br /> <br />OTHER <br />DYES <br /> <br />ONO <br /> <br />BUILDER <br />SIGNATURE <br /> <br /> <br />Addrwu <br /> <br />ELECTRICIAN I <br />SIGNATURE <br />Addrfts I <br /> <br />PLUMBER I <br />SIGNATURE . <br /> <br />Addrwu I <br /> <br />MECHANICAL I <br />SIGNATURE <br /> <br />Address I <br /> <br />OTHER I <br />SIGNATURE <br /> <br />Address I <br /> <br />COMPANY <br />REGISTERED <br /> <br />ItLlnrP~~>,,~ ;r:'~ <br />~. FEE CURRENT ~ <br /> <br />License # lcGs<:-1 jiVE> 2-?;l- I <br />I <br /> <br />I <br />I <br /> <br />I <br />I <br /> <br />I <br />I <br /> <br />I <br /> <br />Ui.!U <br /> <br />FEE CURRENT <br /> <br />LY!.!U <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Ui.!U <br /> <br />FEE CURRENT <br /> <br />LY!.!U <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Ui.!U <br /> <br />FEE CURRENT <br /> <br />LY!.!U <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Ui.!U <br /> <br />FEE CURRENT <br /> <br />LY!.!U <br /> <br />License # <br /> <br />RESIDENTIAL <br /> <br />Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Foons; R-O-W Perm~ for new construction, <br />Minimum ten (10) working days after submittal dale. Required ons~e, Construction Plans, Stoonwater Plans wi Sift Fence installed, <br />Sanitaly Facilities & 1 dunpster; Site V\for1( Permtt for subdivisionsflarge projects <br />AItach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Foons. R-O-W Perm~ for new construction. <br />Minimum ten (10) wlll1<ing days after submillal dale. Required onsile, Consltuclion Plans, Slormwater Plans wI sm Fence installed, <br />Sar-.y Facilities & 1 ~. Site V\for1( Permtt for III .- projecIs. AI canmeroiallllqllQmenls must meet axnpIiance <br />Attach (2) sets d EI1ji1eenld Plans. <br />"""*PROPERTY SURVEY required for all NEW construction. <br /> <br />COIIMERClAL <br /> <br />SIGN PERMIT <br /> <br />Directions: <br />Fill out application completely. <br />Owner & Contractor sign beck of application, notarized <br />" oyer $2500, /I Notice of ComnIencanMm Is requited. (AIC u~ oyer $1000) <br /> <br />- Agent (for the conlJactor) or Power d Attomey (for the owner) would be someone with notarized IeIter from owner auIhorizing same <br /> <br />OVER THE COUNTER PERIIITTlNG (Front of Appfication Only) <br />Reroofs s-ers Service U~ AIC Fences (PIotISurveyIFoolage) <br />DrIvewaylWlol over Counter if on public roadwaysuneeds ROW <br />