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<br />.- <br />~ <br /> <br />813-780-0020 <br /> <br />City of Zephyrhills Pennlt Application <br />Building Department r i" I. <: <br />u-flr 1'1' l~ <br />/27 <br /> <br />f/~~ <br />;Z IJ;J ;,..,17 <br />Fax-813-780-0021 <br /> <br /> <br />Fee Simple Titleholder Addre..! I /<t <br />JOB ADDRESS 17C15V 0/NL ZC'/D 2~//Y-o/'h~rJ' h: .f35Y;< LOT# I <br />, <br /> <br />12.~.'-P/lt!;-J,I/IJ{'.5,; (';C)~ClNy' " I'" r; <br />. I. ~ '-MQ ,PARCELID# ~5~c;)s--cll-OOIO-lchClO~OOOCJ <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN ~ MOVE 0 <br /> <br /> <br />Date Received <br /> <br />OWner's Name <br /> <br />SUBDIVISION <br /> <br />WORK PROP08EO <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />DESCRIPTION OF WORK <br /> <br />BUILDING SIZE <br /> <br />BUILDING <br /> <br />~LECTRICAL <br /> <br />0 PLUMBING <br />0 MECHANICAL <br />0 GAS <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />BUILDER <br />SIGNATURE <br /> <br />Address <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />Address <br /> <br /> <br />oto <br /> <br />~lJ/(7.-fZ- ~:;;y~ <br /> <br />G4=~~~ <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />0, NEW CONStR B ADO/ALT 0 <br />o INSTALL REPAIR <br />LJ SFR 0 COMM 0 OTHER <br />o BLOCK 0 FRAME 0 STEEL 0 OTHER I <br /> <br />W~/{[L/"" ,#tJ-rJIUuu, r~?-:thhV,QI~6' bJ;fcL ~/,Rs:/7()'A. '.fC.. ))/,e~nP f) <br /> <br />, ' I SQ 'OOTAGE I . . I HEIGHT I I ~ v~\t~ <br /> <br />1$/ 'fr ~C'CI~~O ALUATlON OF TOTAL CONSTRUCTION ,;;JOC} C/CJO~ <br /> <br />I, t} ~</" ~ I ~~ < /SIMP SERVICE / D PROGRESS ENERGY 0 W<IU<C <br />. _ - J 1'/'/I'I,fL (f'"l~c..I/uO~c,y:) ;1'oe-?.1.f7XJ6~{.jIC~ <br /> <br />1$' I <br />1$ I <br /> <br />o ROOFING CJ SPECIALTY 0 OTHER <br />FLOOD ZONE AREA <br /> <br />OEMOUSH <br /> <br /> <br />VALUAnON OF MECHANICAL INSTALLATION <br /> <br />DYES <br /> <br />DNO <br /> <br />111 JDCOMPANY <br />REGISTERED <br /> <br />~tt't-~ <br />')..0 ?J <br />~ <br /> <br />'j~ <br /> <br />'" <br />,:..~ .",) <br /> <br /> <br />COMPANY <br />REGISTERED <br /> <br />Ucense# 1e-.soocJ000..3 <br /> <br />PLUMBER <br />SIGNA TORE <br /> <br />COMPANY <br />REGISTCRa) <br /> <br />FEE CURRENT <br /> <br />Y/N 'I <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br /> i I I <br />MECHANICAL [ COMPANY <br /> I <br />SIGNATURE REGISTERED I Y/N I FlEE CURRENT I V/N I <br />Addre.s I License # I . I <br /> [ I I <br /> [ <br />OTHER I COMPANY <br />SIGNATURE REGISTERED I Y/N I FEE CURRENT I Y/N I <br />Addrel!ls I License # I 1 <br />RESIDENTIAL Attactl (2) Plot ~Il$; (2) sets of Building Plans; (1) set of Energy Forms <br /> Minim' ~m ten (10) working days after submittal date. Required onsltf!. Con$tructlon Plans. Sanitary FacilitieS & 1 dumpster <br />COMMERCIAL AttacI1 (3) sets of Building Plans; (1) set of Energy Forms. <br /> MlnllTliJm ten (10) -, da after SUbmiIta1 date. R - onsite. ConstructIOn Plall$ Sanl FacilitIeS & 1 dum ter <br /> <br />SIGtf PERMIT <br /> <br />, wortdng ys equired <br />All co. mercia! requirements must meet compliance. <br />Atta . (2) sets of Engineered Plans, <br />....p . OPERTY SURVEY required for all NEW construction, <br /> <br />tary <br /> <br />ps <br /> <br />Dfrec:;tJOlJa: <br />Fill out application co y. <br />Owner & Contractor sI n beck of application. notarlted <br />If over $2500, a N of Commencement r. required; (AlC upgrades over $5000: <br /> <br />.. Agent (for the contra ) or Power of AttQmey (for the owner) would be someone with notarlted letter fmm owner authorizing same <br /> <br />OVER THE COUNTER P , MITTING (Front of Application Only) <br />Reroofs Sewer Service upgtides AlC Driveways Fences (pIoUSurvey/Footage) <br />