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<br />t;oo s- ;rC5 k <br /> <br />813-780-0020 <br /> <br />City of Zephyrhills Permit Application <br />BUilding Department <br /> <br />Fax-813-780'0021 <br /> <br />~::5..!t~~~i~'2~-~~;t91P~=~:7:::::~::' <br /> <br /> <br /> <br />Owner's Address I --::::f 2.:2..-'-1 H-; (:r~ L- .q r0 0 Lo 0 (" Owner Phone Number I , <br /> <br /> <br />Fee Simple Tilleholder Name I Owner Phone Number Il...{ 0 '7 -4~9 - S5~JI <br /> <br /> <br />JOB ADDRESS <br /> <br />Fee Simple Tllleholder Address I <br /> <br />I '~ '2.2-4- <br />IDA- ~ <br /> <br />~ <br />D <br /> <br />++-1 '-H LAN 0 <br /> <br />l'L J r----/ I PARCEL 10# 13 4- - LJ- 2 J- 'D 10'0 - ()t<)oElO <br />(OSTAINED FROM PROPERTY TAX NOTICE) <br />~ ADD/ALT D SIGN D MOVE D <br />r::::::J REPAIR <br />DCOMMD I <br />D BLOCK 0 FRAME D D OTHER I <br /> <br />I ~cl. d @ <S.-Jor~ t=3 a-'.- - tJ 7 J~ ~rJ <br /> <br />BUILDING SIZE 1 sa FOOTAGE I HEIGHT I <br />:~;:;;;:!I~~:!;~j11~~il~l~;;m~;:ffi~ii:i~J!~~;;1;~;;;;j::;i;;!~~I;;;r.!:;1!1~;;~i;:il!!1;ml~!iH:~:millm~;inmm;m;'5;!!mJim~!i~mll!li~m;~;iii;;:ji~m;~Hl~;:u!~m':~I;:i!~lm;;m;;i;!I;;;iiG;miiim;mitiai!n;U;;::;~!lmmljiam!;umij1U!l!i!lijlir"iamiiimi;m!~!lim:iiiml:i;; <br />1$ Q, Q(o O.OUI <br /> <br />1$ , <br />1$ I <br />1$ I <br /> <br />D ROOFING 0 <br />FINISHED FLOOR ELEVATIONS I I <br /> <br />\.-() {) e <br /> <br />I <br />t; I <br />DII~ <br /> <br />LOT# <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />B <br />D <br /> <br />NEW CONSTR <br />INSTALL <br /> <br />DEMOLISH <br /> <br />PROPOSED USE <br /> <br />TYPE OF CONSTRUCTION <br /> <br />SFR <br /> <br />OTHER <br />STEEL <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING <br /> <br />V ALUATION OF TOT AL CONSTRUCTION <br /> <br />ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />PROGRESS ENERGY <br /> <br />o <br /> <br />WREC <br /> <br />D <br /> <br />PLUMBING <br /> <br />D <br /> <br />MECHANICAL <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />D <br /> <br />GAS <br /> <br />SPECIALTY D <br /> <br />OTHER <br /> <br />FLOOD ZONE AREA <br /> <br />DYES <br /> <br />ONO <br /> <br />:!i;;j~.:i~~~;~g~!~;li~!l~~:;m~;:mijj~~i;;,:~~!~!iilm~~;il;i,;~jJ~m~1;m~m;~gi!;immm~5im;~!;!Jmm;m;ii!~~mm~m~!i!P.~!m!~m~I!;I!!~lm~~!mmm~ml;IIlf!~1!l!l"m~~;mm~~l~~11r.!!mj~m~!=!ml:lm~m:l.~mr::m:mll~mi:m~;i:l~!;li!~m~mmmm~m~~m;um;: <br /> <br />BUILDER COMPANY I <br />SIGNATURE REGISTERED YI N FEE CU R RENT I Y/N I <br />Add ress License # I <br />ELECTRICIAN I COMPANY I <br />SIGNATURE REGISTERED YI N FEE CURRENT I Y/N I <br />Address License # I <br />PLUMBER COMPANY I <br />SIGNATURE REGISTERED YI N FEE CURRENT I Y/N I <br />Address License # I <br />MECHANICAL I <br />SIGNATURE Y IN FEE CURRENT ~ <br />Add ress License # I I <br />OTHER C <lC O'-ltO~~ ~ <br />SIGNA TURE I YI N I FEE CURRENT ~I N D <br />Address License # It+O(Yl. Otifb7 <br /> <br /> <br />:!:~;~lmi~~l!~iim;~;!E;I!!~;i~;I;;;~i;;;i~~;~m~!~m;lm'1W;;~i1U~m~!I!;;n;;!;i;!;itH~~;a!!!rni~!miiii;iijrui;mii;~;;!~I!;;;iil;!l!ih"r..m~m;!!m!i;;:-iiiffi!;im~!m;i!m;!;m;!!~;imlilimi~m;im.ii!i.!jm!;!m!I!~!i1~;i*!I!li!!!m!!!m;;!~~;iim;!fi;!I~";;!;!!ii.m;~! <br /> <br />RESIDENTIAL <br /> <br />Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms <br />Minimum ten (10) v..-orking days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster <br />Attach (3) sels of BUilding Plans, (1) set of Energy Forms. <br />Minimum ten (10) 'NOrking days after submittal date Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster <br />All commercial requirements must meet compliance <br />Attach (2) sels of Engineered Plans <br />""PROPERTY SURVEY reqUired for all NEWconslrucllon <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />~:m;;:mi:lm~m~;!!:;m!l~!~m~;;it;~:;:!;11;llgm!;jjm~mli~mlijjjm;ia:mll~Ii!~1ijlj~ljIJlflmj;:;I:I:i;i~:m!i;im~li!;ilm;~!ml~:;amilijl!;l:mii:;mi;!m~mllili!!mlliilmi~:!jiljlIU~mi;l;m~mm;!;mmmi;!im:l~;mmm~m:ji'il:;i;m:lml;il!1~1Im;:jj;ijji;i~llimm;;J <br />Directions: <br />Fill out application completely <br />Owner & Contractor sign back of application, notanzed <br />If over $2500, a Nolice of Com mencemenl is required, (A/C upgrades over $5000) <br /> <br />Agent (for the contractor) or Power of Attorney (for the owner) would be someone vvith notarIZed letter from owner authorizing same <br /> <br />OVER THE COUNTER PERMITTING (Front of Application Only) <br />Reroofs Sewers Servrce Upgrades Ale <br /> <br />Fences (PloVSurvey/Footage) <br /> <br />Driveways-Not over Counter If on public roadways .needs ROW <br />