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; � <br /> ` �813-780-0020 Fax-813-7$0-0021 <br /> City of Zephyrhills Permik Ap�licafiion <br /> y B�ilding Departmsnt /Y�21 "�Z��, <br /> , � <br /> : <br /> Date Received pl�one Contact far Ferettitiing • -- <br /> I�°�"��iornaouuooii� u�� ia. ��� i a � r��'°mn , � ,� <br /> �r's P}ame � ¢ � } Qwner Phone Number Y � 2.� <br /> i <br /> Owner's Address p � L `j Owner Phone Number <br /> Fee Simple 7itleholder Name Owner Phone Nurnber �- � <br /> }__ <br /> i <br /> Fee Simpl�Titleholder Address � � <br /> JOB ADDRESS � �'��1 r LOT-# �� <br /> Sl!'3DIVI510P1 � ll�'�l t,,,r�k� � i'ARGEL ID# � _ �. 5 alJ- L`�utiZ� <br /> I ~ (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR [� ADD/ALT � SlGN Q MOVE Q DEM4�iSH <br /> INSTALL � REPAIR <br /> PROPOSEC3 USE � SPR � C41Viiitl� Q dTFEER P.-Q. <br /> TYPE OF CONSTRUCTION � BLOCK [� FRAME Q STEEL � OTHER �� i�I <br /> DESCRIPTION OF WORK I <br /> � <br /> BUILDING SIZE ��� 34 FOOTAGE L���J� � HEIGHT C� � <br /> i I � f.N e G 7 iOP��WGIPtlOVlxF4�?nH906Pev�IplBa <br /> �� BUILDING $ � � VAI.UATIQN OF TC7TAL GfJNSTRUCTIpN <br /> 3 ., <br /> � ELECTRICAL $ AMP SERV�CE � PROGRESS ENERGY CJ W.R.E.C. <br /> �� PLUMDING $ �I � <br /> � � <br /> Q MECHANICAL $ VALUATIQN OF MECHANICAL INSTA�.LAT{ON <br /> � GAS �� ROOFING � SPECIALTY � OTHER <br /> FINlSHED FLQOR ELEVATI4NS � � FL4bD ZONE AREA OYES �NC7 <br /> �PE�Pd6�lu�9➢VO'"'II BtlireP6 rc4:4Ptl�LwL�BB�C"N�tlVBIIN�����1�7����FC�4'�Vu9"9�0'�0�,�' �Wt��O.^�'909��l�6�B�LR��yBiiIll��u0��1tlq��kRGIC^^�lfBC��tl 'BIIIIIlqB9Nm9VG�pII upIryIGV�IIEU�VWIVIVIIVIllIIIVIVVII nII°IPIMlB�P9CVW�NI''LNliN1�100GIIIIVBdIlO�BqflGI�NV�lOVO�uiGPIlfpAptIIII�p�VflVVNI�VI'�VIV�V9tlV2VBqPB96fIItl78�IIV"VdiIV9VOV�9V�9IV19V6��Y91IVb <br /> BUILDER COMPANY I�II� IUc�' ! ����9c�'�_���i c. ._._ <br /> SlGNATllRE ftiEGtSTERED I N FEE CURR NT Y N � <br /> �� ���� L.icense# <br /> Address 15R!! U� �� �e �.'-��� ' �,.C�t. �3�"�v�Z.., <br /> � ' <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y 1 N FEE CURRENT Y 1 N <br /> Address I License# �� <br /> I <br /> PLUMBEt2 COMPAPdY <br /> StGNATURE REGiSTERED Y I N ; FEE CURRENT Y 1 N <br /> Address I License# �u <br /> "flECHANICAL I OMPANY <br /> iNATURE REGISTERED Y I C� FEE CURREN`f' Y 1 N <br /> Address � License# <br /> � � <br /> 07HER ICOMPANY <br /> JIt�i3Ft!liFlt �r.�c,.:.u�;:^ , Y; "! a �____�!��R��N1' Y 1 N <br /> Address I License# �- � <br /> ��'��1RR"��OXIIIN�flPi � ^ � � � � � � ��� p��,��pfNUrtspt�fl���!�1�9�Gl�o.p � �80VVV�1��01��9NVV9VNGVUUBV�➢�V�'VIOIVGVP01��1 <br /> RESlDEN71AL Attach{2)Plpt Plans;(2)sets of Building Plans;(1)set of�neryy Forms <br /> Minimum ten{�i0}working days after submitfal date. Required ansite,Constructian P{ans,Sanifary Facilit'ses&1 dumpster <br /> COMMERCIAL Attach(3)sets of Building Plans;(1)set of Energy Forms. <br /> Minimum ten(14}working days after submittaf date. Required or�site,Canstruciian Plans,Sanitary Facilities&1 dumpster <br /> Ali commercial requirements musf ineet eompliance. ' ` <br /> SIGN PERMIT Attach(2)sets of Engineered Plans, <br /> """PROPERTY SURVEY required for all NEW construction. <br /> -�"4��I' i il 9'� II i . I I I d������0��� � ��������������II�'�IIG�V�'���� <br /> rections: j <br /> Fill out application eampletely. i <br /> Owner&Cantractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A!C upgrades qver$5000) <br /> '* Agent(for the contractor)or Power of Attorney(for the owner}would be someone with notarized letter iram owner authorizing same � <br /> QVER THE GOUNTER PERNtlTTING {Frant of A�plication Onfyj � <br /> Reroofs Sewers Service Upgrades A/C Fences(PIaflSurveyJFoafage} <br /> Driv�ways-Nat aver Counker if on public roadways..needs ROW � <br /> - � , <br /> i <br />