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<br />4001 ~R ~ <br /> <br />813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> <br /> <br /> <br />":=lv~~.~;=~b-;f~-=:=~f::~~.~~:~;~i~-!~5ot{ <br /> <br />Owner's Address /0 /1 .....,.... arbo..:J Dr, TL.a Owner Phone Number I I <br />Owner Phone Number I I <br />I <br />LOU I I <r:: 2-1 <br /> <br />PARCELI0#IJJ-Z6-ZI-iJO/o-/y/oo- 00/01 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br /> <br /> <br /> <br />JOB ADDRESS <br /> <br />Fee Simple Titleholder Address I <br /> <br />155~1 <br />I <br /> <br />D <br /> <br />/d1Lr J'-j <br />I <br /> <br />NEWCONSTR B ADD/ALT D <br />INSTALL REPAIR <br />~ SFR ~ COMM D OTHER I <br />L:J BLOCK L-J FRAME D STEEL D <br /> <br />1/2<, lfr<1 ~ w)..., do..!..- If.... .(nc <br /> <br />BUILDING SIZE _ SO FOOTAGE I I HEIGHT I <br />::i~:;1:J:!i;;~!~~!m;~;i:~m'~~;*i~1;ii~!~i~;!i;;#ml~ii~!~*;:m!!~;!!;~1:r=;~mj!&lm~!1!~~miifiUl~IDm!::il!!F.l;mti;lm~:iii:~lm;~m~~iiil;!j;;,mli;r~l~;lm~ii!j!fiI~lm;;nma!ili;;;ffiiiiG;s:m;ml~mmi:li:;~;rdlr:m~!5:i~l:i!liji~l~iil;~iiii!,i;mii:;m!~!m~imi~il:!~l <br />I <br />I <br />I <br />I <br />D <br />I <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />B <br /> <br />SIGN <br /> <br />D <br /> <br />MOVE D <br /> <br />DEMOLISH <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />OTHER I <br /> <br />DESCRIPTION OF WORK <br /> <br />J1i <br /> <br />'s;zJ <br /> <br />D <br /> <br />1$ I, .81J: - <br />1$ <br />1$ <br />1$ <br />D <br /> <br />FINISHED FLOOR ELEVATIONS I <br /> <br />ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />D <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />WREC <br /> <br />BUILDING <br /> <br />VALUATION OF TOT AL CONSTRUCTION <br /> <br />PLUMBING <br /> <br />/iil <br /> <br /> <br />D <br /> <br />MECHANICAL <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />D <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY D <br /> <br />OTHER <br /> <br />FLOOD ZONE AREA <br /> <br />DYES <br /> <br />DNO <br /> <br />;!i;!!;i:m=:!1~mj';~~:;gm~1~;~igm;~~!!,:~mi!jm~~~m~:;Jg!m~m!!;m;~m;i~;m~m1;~~;j!;~:i!lim!lij~ni;!miITm;mj!!I!i!~!mmm~~m:lm~ml!~p.m~!l~limmmm;m~!im;m;~llm~i;lm~m~!!m=m:~m~um!lmm!m!~mmmaim~~ml~~:~~!l~j!mmj;~mmimJi!m~: <br /> <br />OTHER <br />SIGNATURE <br /> <br />~ QC\. <br /> <br /> <br />COMPANY <br />REGISTERED Y/ N FEE CURRENT ~ <br /> license # <br />COMPANY <br />REGISTERED Y/ N FEE CURRENT ~ <br /> License # <br />COMPANY <br />REGISTERED Y / N FEE CURRENT ~ <br /> License # <br /> Y / N FEE CU RRENT ~ <br /> Licen se # <br /> <br />I <br /> <br />I <br />I <br /> <br />I <br />I <br /> <br />I <br />I <br /> <br />I <br />~r\h'~ e -> <br /> <br />BUILDER <br />SIGNATURE <br /> <br />Add ress <br /> <br />ELECTRICIAN I <br />SIGNATURE . <br /> <br />Address I <br /> <br />PLUMBER 1 <br />SIGNATURE <br /> <br />Add ress I <br /> <br />MECHANICAL I <br />SIGNATURE . <br /> <br />Add ress <br /> <br />I-rA e.... I/oM~ ):,e.pc-t Jf; 1I111>1€. <br /> <br />REGISTERED i -Y / N I FEE CURREN-I ~ <br /> <br />Address {,q 2.-7.- H"'-....".,~ Rot. ~c.';:.,e- -rOo ;o..f""I ~~J.iI;ense# I C:.... (I!:, C o,/gS<z g I <br /> <br />i;;~:;~lmi:Em~::.in;~!!i!n!i;;i;i;,;~!;;;il;:i;m~~;~f;ii~m1;;m;;m!m!il~;~m!;mm!t~.;;f;H.=!~ll!~i!i;iiiliiilmnm;m;!~i~mniililmf!lm~ji!L=ii~!;~~~mG;!Rm~i;m~m;j!il&li~;m!Rm;;mi!;ll!!~miitimt~~!!;I~;;m!i!;fi!;;I!~m;;m!IDiG!;mii;f!i! <br />RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans, (1) set of Energy Forms <br />Minimum ten (10) V\I'Orking days after submittal date. Required onslte, Construction Plans, SanItary Facilities & 1 dumpster <br />Attach (3) sets of BUilding Plans: (1) set of Energy Forms. <br />Minimum ten (10) 'wVOrking days after submittal date Required onsite, Construction Plans, Sanitary FacilitIes & 1 dumpster <br />All commercial requirements must meet compliance <br />Attach (2) sets of Engineered Plans <br />....PROPERTY SURVEY reqUIred for all NEW construction. <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />;;m~~:im~i;;i;mi~Uil~mi!;im;~;m;;lm;;im;imgmi;~ml;:mmi~m:m~!jill~llim!;ll;!illillllii;:mlim~;~liimmiiiii~!!~:Um~mmji;;jl!;j=1i;ji~ilmi!jll;mll~!iij;mlli:lm~l!lllmll~mi~l;m:!;m~illl;ml!::mimli~;lli~;mmli~m:~gj!i:imi~il!;~1f!U=lmlm:"inmm;j~! <br />Directions; <br />Fill out application completely <br />Owner & Contractor sign back of applicatIon, notarized <br />If over $2500, a Notice of Com mencement is required. (A/C upgrades over $5000) <br /> <br />Agent (for the contrac~or) 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 Sevvers ServIce Upgrades Ale <br /> <br />Fences (PloUSurvey/Footage) <br /> <br />Driveways-Not over Counter if on publiC roadways needs ROW <br />