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Date Received Fax-813-780-0021 ./ O '2 c.~. --, J-t. ' )' . ( '.I ..r/' v 813-780-0020 City of Zephyrhills Permit Application Building Department Owner's Name Owner's Address I J..e-.s.s. l'e Fee Simple Titleholder Namel i AJ~elllt V\. ~ JOB ADDRESS Fee Simple Titleholder Address I 13 7 ~ 5 ^ Oc,\r b,-s \.. ,~ <: I /;J { d ~ fA/",O vi V DESCRIPTION OF WORK I E3 D D Dr ~T# PARCELlD#11 () - 2.. (,p- 2-1 -01.2 0 -MooO-1 0 I (J (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE D SUBDIVISION D D D D D E3 PROPOSED USE D TYPE OF CONSTRUCTION D (2-c VU 0 l- I . I I I I . I I I I . I . I r . . . . I I . . . I I . . . I . . , , I . . . . I I I . . . . . 1.1. . 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 r I I I I 1$ 5~OO 100 1$ 1$ b FINISHED FLOOR ELEVATIONS I NEW CONSTR INSTALL SFR BLOCK ADD/ALT REPAIR COMM FRAME DEMOLISH WORK PROPOSED OTHER STEEL I D OTHER I 2-tfs ~ >~(:.-r. I le\ BUILDING SIZE ROOFING I I I I D I AMP SERVICE D PROGRESS ENERGY D W.R.E.C BUILDING VALUATION OF TOTAL CONSTRUCTION ELECTRICAL PLUMBING MECHANICAL VALUATION OF MECHANICAL INSTALLATION GAS SPECIALTY D FLOOD ZONE AREA OTHER DYES DNO IIII " " I , I I , . . I I . I . .. , II , I , I . I II . I I II I II f II , It "It, I . , . , . I I I . . II " . , . I " .. . . . .. I II . I II I r . I " P . . , II II . III , I r " ,. I . I . II I P . .. II I I . III . , . , I .. . . . . . 111 COMPANY REGISTERED Y/N FEE CURRENT Y/N LIcense # COMPANY REGISTERED I Y / N FEE CURRENT Y/N License # BUILDER SIGNATURE Address ELECTRICIAN SIGNATURE Address PLUMBER SIGNATURE COMPANY REGISTERED Y/N FEE CURRENT Y/N Address License # MECHANICAL SIGNATURE COMPANY REGISTERED Y/N FEE CURRENT Y/N ~U- I 33D 10 S.d-- Po 6-\1"X \ I 8'( 54.. 1Ih",- 13))(,1 1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I11111111111111111111111 Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction, Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisionsllarge projects I Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. ~-O-W Permit for new construction. Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, srrmwater Plans wI Silt Fence installed, Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requir ments must meet compliance Attach (2) sets of Engineered Plans. ....PROPERTY SURVEY required for all NEW construction. COMPANY REGISTERED License # I l5 ( r) troltJtklti., . ,4(/ h ;; I Y / N I FEE CURRENT Y / N I License # I c c c.. 0 S 1 i)" 7 Address OTHER SIGNATURE Address 111111111111111 RESIDENTIAL COMMERCIAL SIGN PERMIT Directions: Fill out application completely. Owner & Contractor sign back of application, notarized 1 If over $2500, a Notice of Commencement is required. (AlC upgrades over $5000) .. Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from 0 ner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) . Reroofs Sewers Service Upgrades AlC Fences (Plot/Survey/Footage) i Driveways-Not over Counter if on public roadways..needs ROW I